Candace A Ross, MSW, LCSW, MAC, CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012500 Issued in PA

Practice address

1107 Ream Ave
Mount Shasta, CA 96067-9768

Phone

(530) 918-7200

NPI assigned

Oct 5, 2006

Last updated

Apr 16, 2024By the provider in NPPES

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of SiskiyouGroup PAC ID 8224280706, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candaceross@tdh.allscriptsdirect.net

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

• County of Siskiyou

  dba County of Siskiyou Behavioral Health

  • Community/Behavioral Health Agency
  • Yreka, CA
  • NPI 1780803239
  Medicare reassignment Care Compare group NPD
• County of Siskiyou

  dba County of Siskiyou Behavioral Health Services

  • Community/Behavioral Health Agency
  • Mount Shasta, CA
  • NPI 1427219237
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1467549212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S PENNSYLVANIA AVE UNIT 671",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013659",
            "telephone_number": "412-646-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REAM AVE",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679768",
            "telephone_number": "530-918-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CANDACE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, MAC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW012500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0548084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "173873",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribeth Ribb
• Richard Ingle MD Inc
• Peggy Rene Risch, RPT
• Jennifer Roach
• Gregory Robinson, RPH
• Karndeep Samran, MD
• Krista R Sanders, PPS-SC
• Kimberly Santi
• Jack Warren Saunders, MD
• Steven J Scharpf, M.D.

• Clinical Social Worker in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.