Active NPI
Petranella Ladine Ross
- Social Worker
- Brooklyn, NY
National Provider Identifier
1659909703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103131
- Practice address
- 375 Blake Ave Apt 4a
Brooklyn, NY 11212-7417 - Phone
- (678) 629-0216
- NPI assigned
- Apr 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103131 | NY | Primary |
Addresses
Primary practice location
375 Blake Ave Apt 4a
Brooklyn, NY 11212-7417
Mailing address
375 Blake Ave Apt 4a
Brooklyn, NY 11212-7417
Phone (678) 629-0216
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 |
|---|---|---|---|
| 103131 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1659909703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 BLAKE AVE APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127417",
"telephone_number": "678-629-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 BLAKE AVE APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127417",
"telephone_number": "678-629-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "PETRANELLA",
"middle_name": "LADINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.