Deborah Ross, CSW

Individual provider Active NPI Clinical Social Worker · March Arb, CA

NPI 1366691990 · NPPES record last updated Sep 18, 2008

Key facts

NPI
1366691990
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
68010842034 (MI)
Practice address
1920 Graeber St
BLDG 441, Room 23
March Arb, CA 92518-1606
Phone
(951) 655-7272
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
68010842034MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68010842034 MI Yes

Addresses

Primary practice location

1920 Graeber St
BLDG 441, Room 23
March Arb, CA 92518-1606

Mailing address

223 Gilley St
Riverside, CA 92518-2223
Phone (951) 655-7272

Other identifiers

IdentifierTypeStateIssuer
6801082034OtherMITRICARE

Other providers in March Arb, CA

All providers in March Arb, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.