Lisa Ann Ross, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CW01490PA Issued in PA

Practice address

600 N Olive St
Media, PA 19063-2418

Phone

(610) 566-7540

Fax

(610) 566-7677

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1467547620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOLLIS RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831522",
            "telephone_number": "610-924-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N OLIVE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632418",
            "telephone_number": "610-566-7540",
            "fax_number": "610-566-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW01490",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW01490PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Tree Medical Associates, LLC
• Andrew M Rosen, D.M.D.
• Harel Rosen, M.D.
• Rosetree Center for Healthy Sexuality
• Karen Ross, OTR/L
• Tiffany Rothwell
• Jennette Rowe, LPC
• Ashley Fox Ruby
• Anne Ruckdeschel
• Matthew D Rudy, PT, DPT

• Social Worker in Media, PA
• Providers in Media, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.