Misty Dawn Ray Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14760 Issued in FL

Practice address

2902 N Armenia Ave Ste 200
Tampa, FL 33607

Phone

(813) 490-5490

Fax

(813) 490-5495

NPI assigned

Jun 20, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Life Balance and Beauty

  • Mental Health Counselor
  • Riverview, FL
  • NPI 1679015861
  NPD (past)
• Success 4 Kids & Families

  • Case Management Agency
  • Tampa, FL
  • NPI 1013759554
  NPD (past)
• Success 4 Kids and Families, Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1467513788
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1609360908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 N ARMENIA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071661",
            "telephone_number": "813-490-5490",
            "fax_number": "813-490-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 N ARMENIA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-490-5490",
            "fax_number": "813-490-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MISTY",
        "middle_name": "DAWN RAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "SW14760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Brian Ross, M.D.
• Kenneth David Ross, BA
• Lauren Ross I, MA
• Lynda M Ross, PT
• Meghan M Ross, M.D.
• Misty Malott Ross, LMT
• Munazzah Habib Ross, MD
• Nathalia Ross I
• Robert William Ross, RN
• Sharona B Ross, MD

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, 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 Jun 20, 2018; 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.