Shirley Ross, CSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

021609 Issued in NY

Practice address

191 Route 59
Suffern, NY 10901-5008

Phone

(845) 369-7080

Fax

(845) 357-4999

NPI assigned

Dec 22, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1649335449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N DE BAUN AVE",
            "address_2": "SUITE 203",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109015148",
            "telephone_number": "845-369-7080",
            "fax_number": "845-357-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015008",
            "telephone_number": "845-369-7080",
            "fax_number": "845-357-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "CSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "021609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Rosenblum
• Yael Rosenrauch
• Eve Rosenstock, MSN,CNM, IBCLC
• Abram Rosenthal, DDS
• William Rosenthal, D.C.
• Gwen Rossi
• Debra S Roth, L.C.S.W.-R
• Richard L Roth, M.D.
• Rubin & Lutwak Medical Associates, PLLC
• David Rubin, MD

• Clinical Social Worker in Suffern, NY
• Providers in Suffern, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.