Individual provider Active NPI

Irene Ross, LCSW

  • Clinical Social Worker
  • Hallandale Beach, FL
National Provider Identifier
1962565341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8398 Issued in FL
Practice address
1913 S Ocean Dr
Suite 210
Hallandale Beach, FL 33009-5957
Phone
(954) 454-5014
Fax
(305) 948-8636
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW8398 FL Primary

Addresses

Primary practice location

1913 S Ocean Dr
Suite 210
Hallandale Beach, FL 33009-5957

Mailing address

1913 S Ocean Dr
Suite 210
Hallandale Beach, FL 33009-5957
Phone (954) 454-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121029000485 FL Practitioner - Clinical Social Worker 3870619877 Practice locations: Boynton Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7211 Hearth Stone Ave
Boynton Beach, FL 33472-2920
Phone (786) 693-0748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8398FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Center for Mental Health Inc PastSince Aug 21, 2012 Accepting new patients
Keri Mica LCSW PC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962565341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 S OCEAN DR",
            "address_2": "SUITE 210",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095957",
            "telephone_number": "954-454-5014",
            "fax_number": "305-948-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 S OCEAN DR",
            "address_2": "SUITE 210",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095957",
            "telephone_number": "954-454-5014",
            "fax_number": "305-948-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.