BRADLEY ROSS (NPI# 1154665214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154665214 |
| Entity Type | Individual |
| Full Name | BRADLEY ROSS |
| Credential | MS, LPC |
| Practice Address |
W4051 County Road Nn Elkhorn WI 53121-4338 |
| Mailing Address |
6317 Century Ave Apt 7 Middleton WI 53562-2257 |
| Practice Telephone | 2627413279 |
| Practice Fax Number | 2627413217 |
| Mailing Telephone | (262) 741-3279 |
| Mailing Fax Number | 2627413217 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
542-226 | WI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 5165-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1154665214 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3900 W Brown Deer Rd, Ste 200, Brown Deer, WI 532091220 | 4145402170 | 4145402171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285839639 | Bradley A. Ross | Dentist | 6902 Navajo Rd, San Diego, CA 92119-1563 | 2007-06-17 |
| 1679566418 | Bradley R Ross | Dentist | 31 King Charles Dr, Portsmouth, RI 02871-1365 | 2005-08-26 |
| 1841802360 | Bradley Ross | Behavior Technician | 505 E Romie Ln, Salinas, CA 93901-4031 | 2020-08-17 |
| 1427507672 | Bradley Ross | Behavioral Analyst | 5700 Citrus Blvd Ste A1, New Orleans, LA 70123-8505 | 2016-09-29 |
| 1467770693 | Bradley Aaron Ross | Dentist | 8720 N Kendall Dr, Ste 103, Miami, FL 33176-2299 | 2010-05-12 |
| 1376735639 | Bradley Ross | Surgery | 10012 Kennerly Rd, Suite 406, Saint Louis, MO 63128-2197 | 2007-08-10 |
| 1588629455 | Bradley S. Ross | Podiatrist | 7126 N Lincoln Ave, Lincolnwood, IL 60712-2234 | 2006-04-20 |
| Street Address |
W4051 COUNTY ROAD NN |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447281779 | Nicole Heinrich | Social Worker | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2006-07-05 |
| 1427534817 | Elizabeth J Kresen | Dental Hygienist | W4051 County Road Nn, Elkhorn, WI 53121-1005 | 2018-07-18 |
| 1285110353 | Elisabeth C Wolff | Dental Hygienist | W4051 County Road Nn, Elkhorn, WI 53121-1005 | 2018-07-12 |
| 1104336130 | Julie Valler | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2017-10-04 |
| 1861917452 | Katelyn Blatter | Social Worker | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2017-08-04 |
| 1821467986 | Jillian Marie Versweyveld | Nurse Practitioner | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2015-09-18 |
| 1093198335 | Catherine Griffith | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2015-07-06 |
| 1750760534 | Kimberly Heine | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2015-05-26 |
| 1558751826 | Kimberly Olson | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2015-01-26 |
| 1609286616 | Mahin Para-cremer | Behavioral Analyst | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177988 | Sheila Peters | Social Worker | N6522 Us Highway 12, Elkhorn, WI 53121-3536 | 2017-04-10 |
| 1881931608 | County of Walworth | Social Worker | 1910 County Rd Nn, Elkhorn, WI 53121-4338 | 2013-01-14 |
| 1447281779 | Nicole Heinrich | Social Worker | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2006-07-05 |
| 1245260033 | Carlo Jon Nevicosi | Social Worker | W4051 County Rd. Nn, Elkhorn, WI 53121 | 2006-07-04 |
| 1740802230 | Sarah Angelica Myers | Social Worker | 1910 County Road Nn, Elkhorn, WI 53121 | 2020-05-07 |
| 1184275075 | Kelli Brossart | Social Worker | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2019-09-23 |
| 1861917452 | Katelyn Blatter | Social Worker | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2017-08-04 |
| 1912355389 | Kendra Sandberg | Social Worker | W4063 Hwy Nn, Elkhorn, WI 53121-4338 | 2016-05-26 |
| 1063798536 | Alicia Kovac | Social Worker | W4051 County Road Nn, Elkhorn, WI 53121-1005 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1336752773 | Karin Y Luskey | Social Worker | 713 Penny Ln, Hudson, WI 54016-7955 | 2020-08-25 |
| 1114538162 | Anne J Lupo Gondwe | Social Worker | 24178 1st Ave Ste 2, Siren, WI 54872-8220 | 2020-08-13 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1508482647 | Cristin M Burkeland | Social Worker | 629 River St, Belleville, WI 53508-9189 | 2020-06-24 |
| 1568088664 | Jacob Morris | Social Worker | 281 Parkside Dr Apt 123, Whitewater, WI 53190-2220 | 2020-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.