Robert J Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005310 Issued in GA

Practice address

1160 S Milledge Ave
Ste 140
Athens, GA 30605-1387

Phone

(706) 352-9437

Fax

(855) 461-3233

NPI assigned

Oct 3, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 15, 2024 through Apr 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meristem Therapy Services, LLC

  • Clinical Social Worker
  • Athens, GA
  • NPI 1992548176

  Addiction (Substance Use Disorder)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1982988416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S MILLEDGE AVE",
            "address_2": "STE 140",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051387",
            "telephone_number": "706-352-9437",
            "fax_number": "855-461-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S MILLEDGE AVE",
            "address_2": "STE 140",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051387",
            "telephone_number": "706-352-9437",
            "fax_number": "855-461-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Meng Rominger
• Roots and Seeds, LLC
• Richard Lynn Rosemond, MD
• Chandler Rosenberger, NP
• Christina E Ross, NP
• Roycia Bell Ross
• Yessica Ross, LPC
• Mauro Angelo Rossi, DPM
• Heather Rosso, PHARMD
• Hollis Rosson

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.