Active NPI
Tracy Dawn Ross, MSW, RCSWI
- Clinical Social Worker
- Lutz, FL
National Provider Identifier
1962256255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW19653
- Practice address
- 18102 Pine Hammock Blvd
Lutz, FL 33548-7907 - Phone
- (813) 693-0010
- NPI assigned
- Apr 15, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW19653 | FL | Primary |
Addresses
Primary practice location
18102 Pine Hammock Blvd
Lutz, FL 33548-7907
Mailing address
18102 Pine Hammock Blvd
Lutz, FL 33548-7907
Phone (813) 693-0010
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 |
|---|---|---|---|
| ISW19653 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1962256255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18102 PINE HAMMOCK BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335487907",
"telephone_number": "813-693-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18102 PINE HAMMOCK BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335487907",
"telephone_number": "813-693-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TRACY",
"middle_name": "DAWN",
"credential": "MSW, RCSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW19653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.