Marion Christine Ross, L.C.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C2287 Issued in MS

Practice address

133 Executive Dr Ste a
Madison, MS 39110

Phone

(601) 665-2047

Fax

(800) 476-4191

NPI assigned

Jun 10, 2005

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Female

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

Enrolled in MS

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fitness Clinic Wellness

  • Physical Therapist
  • Jackson, MS
  • NPI 1912352022
  Medicare reassignment NPD
• Cac Therapy Group, LLC

  • Clinical Social Worker
  • Clinton, MS
  • NPI 1174652523
  NPD (past)
• Preferred PHP LLC

  • Psychiatric Hospital
  • Jackson, MS
  • NPI 1225611528
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1992709570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 EXECUTIVE DR STE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108440",
            "telephone_number": "601-665-2047",
            "fax_number": "800-476-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EXECUTIVE DR STE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-665-2047",
            "fax_number": "800-476-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARION",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Roberts, NP
• Jannah Robinson
• Krista Johnson Robinson, DPT
• Roseworks Inc (Earthly Delights Day Spa)
• Jason Ross, DDS
• Katherine Anderson Roth, DMD
• William Wade Rowland, RD, LD
• Angie Rucker, RHIA
• Benjamin Reese Rudsenske, DMD
• Natalie Ethridge Rudsenske, MD

• Social Worker in Madison, MS
• Providers in Madison, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.