Active NPI
Rachel Ross, LCSW, BCD
- Clinical Social Worker
- Riviera Beach, FL
National Provider Identifier
1649667007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW22558
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW22558 | FL | MD | Clinical Social Worker |
| C010860 | NC | MD | Clinical 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.