Individual provider Active NPI

Robin Kenneth Ross, LCSW

  • Clinical Social Worker
  • Newport, OR
National Provider Identifier
1992441968
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L15377 Issued in OR
Practice address
51 SW Lee St
Newport, OR 97365-3823
Phone
(541) 265-0445
Fax
(844) 760-0526
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L15377 OR Primary
Clinical Social Worker 1041C0700X 2807733501 UT

Addresses

Primary practice location

51 SW Lee St
Newport, OR 97365-3823

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0445

Other practice location 1

525 N Bay St
Waldport, OR 97394-9010
Phone (541) 574-5960

Other practice location 2

4422 NE Devils Lake Blvd
Lincoln City, OR 97367-5000
Phone (541) 574-5960

Other identifiers 1

IdentifierTypeStateIssuer
500843656MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240828003750 OR Practitioner - Clinical Social Worker 8729527239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of LincolnGroup PAC ID 3375439862, 28 clinicians

Practice addresses (Care Compare)

51 SW Lee St
Newport, OR 97365-3823
Phone (541) 574-5960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2807733501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lincoln CurrentSince Aug 1, 2024 Accepting new patients
County of Lincoln CurrentSince Aug 1, 2024 Accepting new patients
Inactive - County of Lincoln Past Accepting new patients

Locations

4422 NE Devils Lake Blvd
Ste 2
Lincoln City, OR 97367
Phone (541) 265-4196

4422 NE Devils Lake Blvd
Lincoln City, OR 97367
Phone (541) 265-4947

51 SW Lee St
Newport, OR 97365
Phone (541) 265-0445

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

525 N Bay St
Waldport, OR 97394
Phone (541) 265-4947

Organizations & group practices 3

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1992441968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SW LEE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653823",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Bay St",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973949010",
            "country_code": "US",
            "telephone_number": "541-574-5960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 NE Devils Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675000",
            "country_code": "US",
            "telephone_number": "541-574-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBIN",
        "middle_name": "KENNETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15377",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "2807733501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500843656",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.