Robert Charles Ross, LCSW, C-CATODSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1988 Issued in OR

Practice address

12250 SW 2ND St
Beaverton, OR 97005-2828

Phone

(971) 249-2319

Fax

(503) 601-0049

NPI assigned

Dec 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bob Ross, LCSW, LLC

  • Clinical Social Worker
  • Beaverton, OR
  • NPI 1356857999
  NPD (past) Authorized official

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1548776511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 SW TRIGGER DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087689",
            "telephone_number": "503-453-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 SW 2ND ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052828",
            "telephone_number": "971-249-2319",
            "fax_number": "503-601-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "LCSW, C-CATODSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Scott Rosenbaum, MD
• Esther Gabrielle Rosengarten, PMHNP
• Emily Ross, LMT
• Ivy Pearl Ross, M.F.T.
• Jielian Ross
• Forrest William Rosser, LMFT
• Heath Ryan Rossi, MA
• Virginia Rae Rosvold, M.S.W.
• Marc Chagall Rothgery, M.D.
• Genevieve Claire Rowe, C.D.

• Clinical Social Worker in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.