Active NPI
Lasonja Rena Ross, LICSW-S, PIP
- Clinical Social Worker
- Millbrook, AL
National Provider Identifier
1922848589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4382C-S
- Practice address
- 140 Eagle Rock BND
Millbrook, AL 36054-1779 - Phone
- (334) 652-3337
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4382C-S | AL | Primary |
Addresses
Primary practice location
140 Eagle Rock BND
Millbrook, AL 36054-1779
Mailing address
PO Box 98
Millbrook, AL 36054-0002
Phone (334) 294-9709
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 |
|---|---|---|---|
| 4382C-S | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1922848589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "360540002",
"telephone_number": "334-294-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 EAGLE ROCK BND",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "360541779",
"telephone_number": "334-652-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LASONJA",
"middle_name": "RENA",
"credential": "LICSW-S, PIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4382C-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millbrook, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.