Judith Barbara Bross, L.S.C.S.W.

Individual provider Active NPI Clinical Social Worker · Overland Park, KS

NPI 1922257559 · NPPES record last updated Jul 25, 2012

Key facts

NPI
1922257559
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1492 (KS)
Practice address
9987 Ballentine St
Overland Park, KS 66214-2343
Phone
(913) 888-1186
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Hospice of Northeast Kansas, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1492 KS Yes

Addresses

Primary practice location

9987 Ballentine St
Overland Park, KS 66214-2343

Mailing address

9987 Ballentine St
Overland Park, KS 66214-2343
Phone (913) 888-1186

Other names

  • Ms. Judith Barbara Bross Professional name

Other providers in Overland Park, KS

All providers in Overland Park, KS · Clinical Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.