Tracey Shaniece Ross, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06008600 Issued in NJ

Practice address

333B Route 46 W Ste 205
Fairfield, NJ 07004-2463

Phone

(201) 873-5827

NPI assigned

Apr 21, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1508486440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OLD TARRYTOWN RD APT 408",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106035624",
            "telephone_number": "201-873-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333B ROUTE 46 W STE 205",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042463",
            "telephone_number": "201-873-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TRACEY",
        "middle_name": "SHANIECE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06008600",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00360500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted Riskin, LCSW
• Daniel Andrew Risso, LAC,NCC
• RMG Care Services
• Karissa Marie Roberts
• Aleah Eve Rosner
• Christa A. Rossi, OTR/L
• Michael Rouskas, DC
• Leonard Michael Russo, D.C.
• Joseph Dominick Salamone, DC
• Joseph Palmer Salamone, DC

• Clinical Social Worker in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.