Alec Ross, MSW,LCSW,RDDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.004697 Issued in IL

Practice address

675 Village CT
Glencoe, IL 60022-1609

Phone

(847) 835-5111

NPI assigned

Jan 7, 2009

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2009.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1760629117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 VILLAGE CT",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221609",
            "telephone_number": "847-835-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 VILLAGE CT",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221609",
            "telephone_number": "847-835-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ALEC",
        "credential": "MSW,LCSW,RDDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.004697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amera Manzoor Rahman, M.D.
• Pamela Rezek, PH.D.
• Ana Carolina Richter Da Fonseca Balthazar
• Matthew Rosenberg
• Ronald Rosenberg, M.D.
• Susan Rotman
• Craig Martin Savin, D.D.S.
• Robert W Savin, DDS
• Christine A Schmidt, PSY.D.
• Lauren J Schneider, DC

• All providers in Glencoe, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.