Individual provider Active NPI

Rachel Ross, LCSW, BCD

  • Clinical Social Worker
  • Riviera Beach, FL
National Provider Identifier
1649667007
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22558 Issued in FL
Practice address
7305 N Military TRL
Riviera Beach, FL 33410-7417
Phone
(561) 422-5202
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22558 FL Primary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X C010860 NC
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7305 N Military TRL
Riviera Beach, FL 33410-7417

Mailing address

7581 SW Harbor Cove Dr
Stuart, FL 34997-7405

Other practice location 1

Landstuhl Regional Medical Center
Unit 33100
Apo, AE 09180-3100
Phone (314) 636-7005

Other practice location 2

13815 F St
JBLM, WA 98433
Phone (253) 966-6507

Other practice location 3

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-2252

Other practice location 4

3851 Roger Brooke Dr
MCHE-QD (Creds)
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460

Other names 1

  • Rachel Wilson Professional name

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
SW22558FLMDClinical Social Worker
C010860NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1649667007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 SW HARBOR COVE DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 N MILITARY TRL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "561-422-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Landstuhl Regional Medical Center",
            "address_2": "Unit 33100",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "country_code": "US",
            "telephone_number": "314-636-7005",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "13815 F St",
            "address_purpose": "LOCATION",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "98433",
            "country_code": "US",
            "telephone_number": "253-966-6507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Madigan Army Medical Center 9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "MCHE-QD (Creds)",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RACHEL",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22558",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010860",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WILSON",
            "credential": "LCSW, BCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.