Individual provider Active NPI

Katelyn Marie Ross

  • School Social Worker
  • Latrobe, PA
National Provider Identifier
1629899323
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
SW142087 Issued in PA
Practice address
1501 Ligonier St
Latrobe, PA 15650-2912
Phone
(724) 804-7297
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW142087 PA
School Social Worker 1041S0200X SW142087 PA Primary

Addresses

Primary practice location

1501 Ligonier St
Latrobe, PA 15650-2912

Mailing address

343 Main St
Latrobe, PA 15650-1557
Phone (724) 804-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW142087PAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adelphoi Village, Inc. CurrentSince Oct 27, 2024 Accepting new patients
Adelphoi Education CurrentSince Oct 27, 2024 Accepting new patients

Locations

1501 Ligonier St
Latrobe, PA 15650
Phone (724) 804-7297

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1629899323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MAIN ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501557",
            "telephone_number": "724-804-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502912",
            "telephone_number": "724-804-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW142087",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PA",
            "license": "SW142087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.