Active NPIIndividual providerSole proprietor

Phyllis Ross, LICSW

Counselor, Mental Health in Winchester, Massachusetts

NPI Number1497849079
Practice location
573 Main Street, Winchester, MA 01890
Fax
781-721-2113
Last updated
July 8, 2007

Phyllis Ross is a Counselor, Mental Health based in Winchester, MA. Phyllis Ross practices in Winchester, MA and has the professional credentials of LICSW. The NPI Number for Phyllis Ross is 1497849079 and holds a License No. 105628 (MA). The current practice location address for Phyllis Ross is 573 Main Street, Winchester, MA 01890 and can be reached out via phone at 782-729-4010 and via fax at 781-721-2113.

Provider Profile Details

NPI Number
1497849079
Provider Name
Phyllis Ross
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
573 Main Street, Winchester, MA 01890
Phone Number
782-729-4010
Fax Number
781-721-2113
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
573 Main Street
Winchester, MA 01890
Zip
01890
Phone Number
782-729-4010
Fax Number
781-721-2113
Winchester, MA 01890Get directions →

Provider Business Mailing Address Details

Address
76 Gordon Road
Waban, MA 02468
City
Waban
State
MA
Zip
02468
Phone Number
617-285-8639
Fax Number
781-721-2113

License Information

License Number
105628
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phyllis Ross, LICSW?

The NPI number of Phyllis Ross, LICSW is 1497849079. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Phyllis Ross, LICSW?

Phyllis Ross, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 105628.

Where does Phyllis Ross, LICSW practice?

The practice location is 573 Main Street, Winchester, MA 01890. The office can be reached at 782-729-4010 (phone) or 781-721-2113 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497849079 directly on the NPPES registry website.

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