Matthew Thomas Ross, LCSW, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010407 Issued in NC

Practice address

379 New Market Blvd Ste 1
Boone, NC 28607-3765

Phone

(336) 722-7266

Fax

(336) 201-0538

NPI assigned

Jan 11, 2012

Last updated

May 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Charles a Cannon Jr Memorial Hospital Inc

  dba Cannon Inpatient Behavioral Health

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  Medicare reassignment NPD
• Watauga Medical Center, Inc.

  dba Watauga Medical Center

  • Psychiatry Physician
  • Boone, NC
  • NPI 1407921802
  Medicare reassignment NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc

  dba Cannon OP Behavioral Health

  • Psychiatry Physician
  • Linville, NC
  • NPI 1518906700
  NPD
• Watauga Medical Center Inc

  dba UNC Health Appalachian

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD
• Wellmood PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1154182368
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1861762528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 S MARSHALL ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015808",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 NEW MARKET BLVD STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073765",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Heath Robey, MS, LAT, ATC
• Emmalene Frances Robinson
• Ronald R Hood (Blue Ridge Psychological Services)
• Emily Mara Rose, M.S., CCC-SLP
• Ashley Ross
• Pamela Roush, LPN
• Whitney Royal
• Riley Dobbins Rozanski
• RSS/Boone Operations, LLC (Deerfield Ridge Assisted Living)
• Catharine Carrington Runge

• Clinical Social Worker in Boone, NC
• Providers in Boone, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.