| Sallie M. Ross, Lcsw, Plc | |
|
1405 Rolkin Ct Suite 101 Charlottesville VA 22911-3586 | |
| (434) 962-3027 | |
| Not Available |
| Full Name | Sallie M. Ross, Lcsw, Plc |
|---|---|
| Speciality | Social Worker |
| Location | 1405 Rolkin Ct, Charlottesville, Virginia |
| Authorized Official Name and Position | Sallie Ross (LCSW) |
| Authorized Official Contact | 4349623027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallie M. Ross, Lcsw, Plc 1921 Via Florence Rd Charlottesville VA 22911-3557 Ph: (434) 962-3027 | Sallie M. Ross, Lcsw, Plc 1405 Rolkin Ct Suite 101 Charlottesville VA 22911-3586 Ph: (434) 962-3027 |
| NPI Number | 1275937591 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 7911229455 |
|---|---|
| Medicare Enrollment ID | O20141211000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275937591 | NPI | - | NPPES |
| 1992913677 | Other | NPPES (INDIVIDUAL NPI) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sallie M Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992913677 PECOS PAC ID: 1456673995 Enrollment ID: I20141211001010 |
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