Philicia R Ross, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25786 Issued in MD

Practice address

3030 Greenmount Ave Ste 300
PMB 115148
Baltimore, MD 21218-6907

Phone

(240) 712-4106

NPI assigned

May 4, 2020

Last updated

Jun 4, 2024By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village of Sound Mind

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1518703883
  NPD Authorized official

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1649891474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 300",
            "address_2": "PMB 115148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186907",
            "telephone_number": "760-877-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 300",
            "address_2": "PMB 115148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186907",
            "telephone_number": "240-712-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PHILICIA",
        "middle_name": "R",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina L Ross, LGSW
• Kelly Ross, MD
• Michele Ross, MA, CAS
• Monique Nicole Ross
• Patricia Alphonsine Ross, PHARM.D.
• Raimi Ross, LCPC
• Samuel Lee Ross Jr., MD
• Sonya Ross, LCPC
• Tanya Joyce Ross, CRNP
• Tzipora Ross

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.