Jeannette D Ross, LCSW
Social Worker, Clinical in Englewood, FL. Individual provider (NPI-1).
NPI number1376567297
StatusActive
Last updated in NPPESJan 14, 2015
Details
- NPI
- 1376567297
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jeannette D Ross
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2006
- Last updated
- Jan 14, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW0002147 | FL | Yes |
Other names
- Jean D Ross (Professional Name)
Practice location
1460 S McCall RdEnglewood, FL 34223-4864
Phone 941-223-0105 · Fax 941-681-2663
Mailing address
1730 Hudson StEnglewood, FL 34223-6424
Phone 941-223-0105 · Fax 941-681-2663
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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