Individual provider Active NPI

Ronald A. Ross, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1811266893
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007504 Issued in NC
Practice address
804 Pinecrest Rd
Virginia Beach, VA 23464-1626
Phone
(757) 713-2004
NPI assigned
Dec 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 C007504 NC Primary

Addresses

Primary practice location

804 Pinecrest Rd
Virginia Beach, VA 23464-1626

Mailing address

267 Hunters TRL
Franklin, NC 28734-2283
Phone (757) 713-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250904000739 VA Practitioner - Clinical Social Worker 6406009505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

1806 Summit Ave
300 199
Richmond, VA 23230-4339
Phone (415) 343-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007504NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Clinic CT PLLC CurrentSince Jun 1, 2025 Accepting new patients
Berkley Counseling PLLC Clinical CurrentSince Aug 11, 2024 Accepting new patients
D Duncan Sumpter, P.C., PastSince Apr 14, 2013 Accepting new patients

Locations

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

1806 Summit Ave
#300199
Richmond, VA 23230
Phone (415) 343-5839

Organizations & group practices 3

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": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1811266893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 HUNTERS TRL",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342283",
            "telephone_number": "757-713-2004",
            "fax_number": "828-524-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PINECREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641626",
            "telephone_number": "757-713-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RONALD",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.