Michelle Ross PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHELLE ROSS PA

Practice address

1515 N University Dr
Suite 102a
Coral Springs, FL 33071-6096

Phone

(954) 512-8374

NPI assigned

Apr 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Ross, LCSWNPI 1336396175

Title

President

Phone

(954) 512-8374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Faye Ross, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1336396175
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1326281171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR",
            "address_2": "SUITE 102A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716096",
            "telephone_number": "954-512-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N UNIVERSITY DR",
            "address_2": "SUITE 102A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716096",
            "telephone_number": "954-512-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE ROSS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-512-8374",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.