Individual provider Active NPI

Sallie Ross, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1992913677
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003730 Issued in VA
Practice address
302 Hickman Rd Ste 201
Charlottesville, VA 22911-3572
Phone
(434) 962-3027
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904003730 VA
Clinical Social Worker 1041C0700X 0904003730 VA Primary

Addresses

Primary practice location

302 Hickman Rd Ste 201
Charlottesville, VA 22911-3572

Mailing address

1921 Via Florence Rd
Charlottesville, VA 22911-3557
Phone (434) 962-3027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20141211001010 VA Practitioner - Clinical Social Worker 1456673995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1921 Via Florence Rd
Charlottesville, VA 22911-3557

302 Hickman Rd
Suite 201
Charlottesville, VA 22911-3572
Phone (434) 962-3027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003730VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sallie M. Ross, LCSW, PLC Clinical CurrentSince Aug 8, 2014 Accepting new patients

Locations

302 Hickman Rd
Ste 201
Charlottesville, VA 22911
Phone (434) 825-4841

1405 Rolkin Ct
Ste 101
Charlottesvle, VA 22911
Phone (434) 284-2809

Organizations & group practices 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1992913677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 VIA FLORENCE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113557",
            "telephone_number": "434-962-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HICKMAN RD STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113572",
            "telephone_number": "434-962-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SALLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904003730",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.