Active NPI
Jerilyn Ross, LCSW
- Social Worker
- Washington, DC
National Provider Identifier
1912180639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LC301397
- Practice address
- 5225 Wisconsin Ave NW
Suite 400 the Ross Center
Washington, DC 20015 - Phone
- (202) 363-1010
- Fax
- (202) 363-2383
- NPI assigned
- Dec 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LC301397 | DC | Primary |
Addresses
Primary practice location
5225 Wisconsin Ave NW
Suite 400 the Ross Center
Washington, DC 20015
Mailing address
5225 Wisconsin Ave NW
Suite 400 the Ross Center
Washington, DC 20015
Phone (202) 363-1010
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC301397 | DC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ross Center for Anxiety & Related Disorders, LLC | Past | Accepting new patients | |
| The Ross Center for Anxiety & Related Disorders Inc | Social Worker | 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.
-
- Psychologist
- Washington, DC
- NPI 1417127663
Social Worker
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1578998563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1912180639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 400 THE ROSS CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20015",
"telephone_number": "202-363-1010",
"fax_number": "202-363-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 400 THE ROSS CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20015",
"telephone_number": "202-363-1010",
"fax_number": "202-363-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JERILYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC301397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.