Individual provider Active NPI

Gillian Slocum Ross, LCSW

  • Clinical Social Worker
  • Pottstown, PA
National Provider Identifier
1942373394
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013848 Issued in PA
Practice address
543 Walnut St
Pottstown, PA 19464-5625
Phone
(484) 433-1963
Fax
(610) 718-5395
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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 CW013848 PA Primary

Addresses

Primary practice location

543 Walnut St
Pottstown, PA 19464-5625

Mailing address

527 N Charlotte St
Pottstown, PA 19464-4602
Phone (484) 433-1963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031223000639 PA Practitioner - Clinical Social Worker 9436057734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

Practice addresses (Care Compare)

2091 E High St
Pottstown, PA 19464-3211
Phone (610) 970-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Concilda Service Coordination LLC CurrentSince Oct 13, 2019 Accepting new patients
Creative Health Services, Inc. Past Accepting new patients
Eagles Counseling LLC Past Accepting new patients
Creative Health Services, Inc. Past Accepting new patients

Organizations & group practices 5

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1942373394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N CHARLOTTE ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194644602",
            "telephone_number": "484-433-1963",
            "fax_number": "610-718-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 WALNUT ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645625",
            "telephone_number": "484-433-1963",
            "fax_number": "610-718-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM ROSS",
        "first_name": "GILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.