Jeannette D Ross

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2147 Issued in FL

Legal business name

JEANNETTE D ROSS

Practice address

1460 S McCall Rd Ste 3H
Englewood, FL 34223-4870

Phone

(941) 223-0105

Fax

(941) 681-2663

NPI assigned

May 26, 2014

Organization subpart

No

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

Authorized official

Name

Jeannette D Ross, LCSWNPI 1376567297

Title

Sole Practitioner

Phone

(941) 223-0105

Specialties & licenses 1

Addresses

Other names 1

• Jean Ross, LCSW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannette D Ross, LCSW

  • Clinical Social Worker
  • Englewood, FL
  • NPI 1376567297
  NPD (past) Authorized official

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401062400000",
    "number": "1477965416",
    "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": "941-475-9859",
            "fax_number": "941-681-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S MCCALL RD STE 3H",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234870",
            "telephone_number": "941-223-0105",
            "fax_number": "941-681-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE D ROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-05-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "941-223-0105",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jean Ross, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blessy Mathew Jacob, M.D.
• James Eugenides OD PA
• James Villotti MD PA
• Justin Jamison, OTD
• Kelly Jaworski
• Jeffrey Sklar MD PA
• Kathy Michel Jenkins, PA-C
• Melissa Jenkins
• Tyler Jennings, PHARMD
• Dennis M Jewell, D.C.

• 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 May 26, 2014; 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.