Active NPI
Rachel Ducote Ross, LCSW
- Clinical Social Worker
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008258
- Practice address
- 130 26TH St NW Apt 712
Atlanta, GA 30309-4802 - Phone
- (504) 655-6746
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008258 | GA | Primary |
Addresses
Primary practice location
130 26TH St NW Apt 712
Atlanta, GA 30309-4802
Mailing address
130 26TH St NW Apt 712
Atlanta, GA 30309-4802
Phone (504) 655-6746
Other names 1
- Rachel Elizabeth Ducote
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008258 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Vitae Health Medical Georgia LLC | Clinical | Current | Accepting new patients |
Locations
3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900
2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626
811 Kennesaw Ave NW
Marietta, GA 30060
Phone (770) 422-2451
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1184320574
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1609593201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 26TH ST NW APT 712",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094802",
"telephone_number": "504-655-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 26TH ST NW APT 712",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303094802",
"telephone_number": "504-655-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RACHEL",
"middle_name": "DUCOTE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "DUCOTE",
"middle_name": "ELIZABETH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.