Active NPI
Carrie Beaver Ross, LCSW
- Clinical Social Worker
- Hickory, NC
National Provider Identifier
1730487406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007174
- Practice address
- 3050 11TH Avenue Dr SE
Hickory, NC 28602-8336 - Phone
- (828) 695-6585
- Fax
- (828) 695-4729
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | C007174 | NC | Primary |
Addresses
Primary practice location
3050 11TH Avenue Dr SE
Hickory, NC 28602-8336
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-9005
Other practice location 1
338 W 15th St
Newton, NC 28658-2906
Phone (828) 465-0920
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1730487406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-9005",
"fax_number": "704-874-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 11TH AVENUE DR SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028336",
"telephone_number": "828-695-6585",
"fax_number": "828-695-4729"
}
],
"practiceLocations": [
{
"address_1": "338 W 15th St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "NC",
"postal_code": "286582906",
"country_code": "US",
"telephone_number": "828-465-0920",
"fax_number": "828-464-1412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "CARRIE",
"middle_name": "BEAVER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.