Individual provider Active NPI

Georgia Antoinette Ross, L.C.S.W.

  • Clinical Social Worker
  • New Castle, PA
National Provider Identifier
1770687097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014088L Issued in PA
Practice address
507 N Jefferson St
New Castle, PA 16101-2114
Phone
(724) 674-2431
Fax
(724) 654-3461
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014088L PA Primary

Addresses

Primary practice location

507 N Jefferson St
New Castle, PA 16101-2114

Mailing address

507 N Jefferson St
New Castle, PA 16101-2114
Phone (724) 674-2431

Other identifiers 2

IdentifierTypeStateIssuer
R0522762OtherPAHIGHMARK BLUE SHIELD FEP
155830OtherPAVALUEOPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000033 PA Practitioner - Clinical Social Worker 6406897255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych-Med Associates, IncGroup PAC ID 4486691052, 5 clinicians

Practice addresses (Care Compare)

26 Nesbitt Rd
Suite 253
New Castle, PA 16105-3414
Phone (724) 652-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014088LPAMDClinical Social Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770687097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012114",
            "telephone_number": "724-674-2431",
            "fax_number": "724-654-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012114",
            "telephone_number": "724-674-2431",
            "fax_number": "724-654-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "GEORGIA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014088L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD FEP",
            "identifier": "R0522762",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "155830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.