Active NPI
Kristi Ann Ross, LCSW,CADC
- Clinical Social Worker
- Morro Bay, CA
National Provider Identifier
1356412795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21232
- Practice address
- 895 Napa Ave.
Ste B-2
Morro Bay, CA 93442-2417 - Phone
- (805) 466-3856
- Fax
- (805) 776-5020
- NPI assigned
- Nov 9, 2006
- Last updated
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21232 | CA | Primary |
Addresses
Primary practice location
895 Napa Ave.
Ste B-2
Morro Bay, CA 93442-2417
Mailing address
P.O. Box 749
Morro Bay, CA 93443-2417
Phone (805) 466-3856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120629000231 | CA | Practitioner - Clinical Social Worker | 5092970822 | Practice locations: Atascadero, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5955 Capistrano Ave
Suite G
Atascadero, CA 93422-7227
Phone (805) 465-3856
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21232 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1356412795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 749",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934432417",
"telephone_number": "805-466-3856",
"fax_number": "805-776-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 NAPA AVE.",
"address_2": "STE B-2",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934422417",
"telephone_number": "805-466-3856",
"fax_number": "805-776-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KRISTI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW,CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morro Bay, CA
- Ratchford Dental Practice, Inc (Morro Bay Family Dentistry)
- Revive Then Thrive Marriage and Family Therapy, Inc. (Revive Then Thrive)
- Candice Allysha Rodriguez, RDN
- Crystal Louise Rose, LCSW
- Ross J. Dover, PT (TherapyWorks-FitnessWorks)
- Tim Ross
- Ryan Garcia DDS PC
- Jason Sajulan, PA-C
- Lisa Anne Kolberg Salopek, LCSW
- San Luis Physical Therapy & Orthopedic Rehabilitation Inc (Movement For Life Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.