Individual provider Active NPI

Amy Renee Ross, LMSW; MSW U/S

  • Social Worker
  • Edmond, OK
National Provider Identifier
1801494901
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6509 Issued in OK
Practice address
501 E 15TH St Ste 400a
Edmond, OK 73013-5046
Phone
(405) 216-5240
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6509 OK Primary

Addresses

Primary practice location

501 E 15TH St Ste 400a
Edmond, OK 73013-5046

Mailing address

249 NW 82ND St
Oklahoma City, OK 73114-3314
Phone (580) 235-9141

Other practice location 1

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108
Phone (405) 425-0437

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

LicenseStateTypeSpecialty
6509OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lilyfield, Inc. PastSince Oct 19, 2020 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC Past Accepting new patients

Organizations & group practices 2

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1801494901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 NW 82ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731143314",
            "telephone_number": "580-235-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST STE 400A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135046",
            "telephone_number": "405-216-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 N Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731055108",
            "country_code": "US",
            "telephone_number": "405-425-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "credential": "LMSW; MSW U/S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "6509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.