Jeannette D Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0002147 Issued in FL

Practice address

1460 S McCall Rd
Englewood, FL 34223-4864

Phone

(941) 223-0105

Fax

(941) 681-2663

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mrs. Jean D Ross Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeannette D Ross

  • Clinical Social Worker
  • Englewood, FL
  • NPI 1477965416
  NPD (past) Authorized official
• Wellspring Counseling Center Inc

  • Clinical Social Worker
  • PT Charlotte, FL
  • NPI 1821033390
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1376567297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 HUDSON ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342236424",
            "telephone_number": "941-223-0105",
            "fax_number": "941-681-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234864",
            "telephone_number": "941-223-0105",
            "fax_number": "941-681-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JEANNETTE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z2818A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z2818",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAV HEALTH",
            "identifier": "1105340",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689672396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ROSS",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lilliana Rodriguez, PA-C
• Roman Romanenko, PTA
• Ronald John Heromin M.D.,P.a.
• Corine Rootz, COTA/L
• Hector Rosa, MD
• Stephen Mark Ross, MD,PHD
• Candace Lorraine Rudzinski, LMSW
• Erick Rumold
• Kathleen Russo, ARNP
• Norma Iris Sanchez, P.T.

• Clinical Social Worker in Englewood, FL
• Providers in Englewood, 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 Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.