Mary Kathryn Ross, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2306 Barberry Dr
Champaign, IL 61821-6269

Phone

(217) 840-0929

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kate Ross Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1477124238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WEST MARKETVIEW",
            "address_2": "SUITE 10, BOX 314",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 BARBERRY DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216269",
            "telephone_number": "217-840-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "ROSS",
            "credential": "MSW, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rosecrance, Inc.
• Rosecrance, Inc.
• Rosecrance, Inc.
• Katerina Rosenbeck, APN, FNP-BC
• Daniel Todd Rosenblat
• Brianna Patricia Rossbach, LPC
• Raeanna N Rowan
• Julin Ruan, PHARMD
• Sannie Ruan
• Rachael D Rubin, PHD

• Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.