Active NPI
Alex David Ross, ACSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1952961666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW3411179
- Practice address
- 1055 E Colorado Blvd
Pasadena, CA 91106-2327 - Phone
- (661) 402-1545
- Fax
- (661) 727-0006
- NPI assigned
- Jun 14, 2019
- Last updated
- Jun 14, 2019
- Sex
- Male
- 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 | ASW3411179 | CA | Primary |
Addresses
Primary practice location
1055 E Colorado Blvd
Pasadena, CA 91106-2327
Mailing address
1055 E Colorado Blvd FL 5
Pasadena, CA 91106-2327
Phone (661) 402-1545
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kboothe@wingsofthefuture4us.com | Direct |
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 |
|---|---|---|---|
| ASW3411179 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wings of the Future Private Practice LCSW PC | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wings of the Future Consulting Private Practice
- Clinical Social Worker
- Pasadena, CA
- NPI 1144705724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1952961666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD FL 5",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062327",
"telephone_number": "661-402-1545",
"fax_number": "661-727-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062327",
"telephone_number": "661-402-1545",
"fax_number": "661-727-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ALEX",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW3411179",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kboothe@wingsofthefuture4us.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1055 E Colorado Blvd",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911062327",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.