Edward Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030904 Issued in NY

Practice address

250 W 64TH St
New York, NY 10023-6402

Phone

(212) 721-8733

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JGB Mental Health and Mental Retardation Services IncGroup PAC ID 1850349838, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rosse@lighthouseguild.direct.welligent.com

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.

• JGB Mental Health & Mental Retardation Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1255345245
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1396707899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WILDWOOD TER",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282310",
            "telephone_number": "212-721-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236402",
            "telephone_number": "212-721-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Wildwood Ter",
            "address_purpose": "LOCATION",
            "city": "Glen Ridge",
            "state": "NJ",
            "postal_code": "070282310",
            "country_code": "US",
            "telephone_number": "212-721-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04566700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Anjali Ross
• Dara Ross, MD
• Diana Ross
• Dorothy Crystal Ross
• Dylan Ross
• Eric Ross
• Frank Lewis Ross, M.D.
• Franziska Ausra Ross, LMSW
• Gail Ross, PHD
• Glen Ross, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.

Verify at the official NPI Registry.