Active NPI
Angelina Elizabeth Ross
- Clinical Social Worker
- Groveland, FL
National Provider Identifier
1699404830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 591 Blue Cypress Dr
Groveland, FL 34736-8111 - Phone
- (908) 217-8440
- NPI assigned
- Jun 5, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
591 Blue Cypress Dr
Groveland, FL 34736-8111
Mailing address
591 Blue Cypress Dr
Groveland, FL 34736-8111
Phone (908) 217-8440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | FL | |
| 568946544 | Other | FL | BCBA |
| 5874 | Other | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1699404830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 BLUE CYPRESS DR",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347368111",
"telephone_number": "908-217-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 BLUE CYPRESS DR",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347368111",
"telephone_number": "908-217-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ANGELINA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-05",
"last_updated": "2022-06-05",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "568946544",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "591 Blue Cypress Dr",
"city": "Groveland",
"state": "FL",
"country_code": "US",
"postal_code": "347368111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Groveland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.