James Ross Sr., LCSW
Social Worker, Clinical in Shreveport, LA. Individual provider (NPI-1).
NPI number1801347232
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1801347232
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Ross Sr.
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2016
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9854 | LA | Yes |
| 1041C0700X | Social Worker, Clinical | 9845 | LA |
Practice location
510 E Stoner AveShreveport, LA 71101-4243
Phone 318-458-5235 · Fax 318-990-5599
Mailing address
1010 Creswell AveShreveport, LA 71101-3918
Phone 318-458-5235 · Fax 318-990-5599
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