MRS. KELLY B. ROSS (NPI# 1821322314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821322314 |
| Entity Type | Individual |
| Full Name | MRS. KELLY B. ROSS |
| Credential | LCSW |
| Practice Address |
5900 Goodman Rd. Suite B Olive Branch MS 38654 |
| Mailing Address |
6268 Spring Xing Olive Branch MS 38654-5812 |
| Practice Telephone | 9012703542 |
| Practice Fax Number | 8153773622 |
| Mailing Telephone | 9012703542 |
| Mailing Fax Number | 8153773622 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C5689 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509805 | Kelly J Ross | Behavior Technician | 3819 Remington Cir, Anchorage, AK 99507-2888 | 2019-07-03 |
| 1205989886 | Kelly L. Ross | Counselor | 2800 E Madison St Ste 203, Seattle, WA 98112-4865 | 2007-01-19 |
| 1427107929 | Kelly Marie Ross | Speech-Language Pathologist | 15802 N. Parkview Place, Surprise, AZ 85374 | 2007-01-10 |
| 1770675399 | Kelly D Ross | Family Medicine | 140 W 4th St Ste 1, Saint Ansgar, IA 50472-1352 | 2006-09-29 |
| 1821602475 | Kelly Ross | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2020-09-01 |
| 1285903237 | Kelly Christine Ross | Social Worker | 11201 Benton St, Loma Linda, CA 92357-1000 | 2011-12-21 |
| 1205139425 | Kelly Ray Ross | Behavioral Analyst | 1125 W Spruce St, Olathe, KS 66061-3123 | 2010-12-09 |
| 1790004539 | Kelly Griffith Ross | Internal Medicine | 200 Lothrop St, Suite N713, Pittsburgh, PA 15213-2536 | 2010-05-19 |
| 1205005253 | Kelly Marie Ross | Physical Therapist | 970 Greentree Rd, Pittsburgh, PA 15220-3304 | 2008-02-25 |
| 1558530634 | Kelly Ross | Social Worker | 8623 N Wayne Rd, Suite 310, Westland, MI 48185-1137 | 2008-02-22 |
| Street Address |
5900 GOODMAN RD. SUITE B |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922314095 | Montoyia Denise Mcgowan | Social Worker | 4949 Arrowhead Ln, Olive Branch, MS 38654-6004 | 2010-08-26 |
| 1184941403 | Leah Jolley Dygert | Social Worker | 6376 Nellwood Dr, Olive Branch, MS 38654-8253 | 2010-04-26 |
| 1780730747 | Dawn Denise Burns Casey | Social Worker | 5600 Goodman Rd Ste B, Olive Branch, MS 38654-7002 | 2007-01-25 |
| 1780798470 | Tasha D Mitchell | Social Worker | 7907 Alexanders Crossing Dr, Olive Branch, MS 38654-4447 | 2006-08-18 |
| 1194032953 | Bonnie Churchill Flowers | Social Worker | 6810 Crumpler Blvd, Suite 303, Olive Branch, MS 38654-1933 | 2010-08-31 |
| 1275847337 | Kenneth Carl Mitten | Social Worker | 6810 Crumpler Blvd, Suite 303, Olive Branch, MS 38654-1933 | 2010-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1962019745 | Jennifer Baker Sheridan | Social Worker | 615 W Pine St, Hattiesburg, MS 39401-3835 | 2020-09-25 |
| 1093321192 | Kristy Lynn Staten | Social Worker | 506 W Marion Ave Ste A, Crystal Springs, MS 39059-2720 | 2020-09-23 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1134731102 | Vicki Arlene Blaize | Social Worker | 178 Pat Harrison St, Biloxi, MS 39530-3425 | 2020-08-20 |
| 1245842657 | Ladonna S Day | Social Worker | 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232-3152 | 2020-08-18 |
| 1962012468 | Debra Diann Wuichet | Social Worker | 503 Maury Cir, Tupelo, MS 38801-4109 | 2020-08-09 |
| 1982214458 | Devin Ariel Williams | Social Worker | 1246 Beverly Hills Rd Apt 306, Hattiesburg, MS 39401-4483 | 2020-08-08 |
| 1770193559 | Brian Droubay | Social Worker | 703 Meadowlake Cv, Oxford, MS 38655-9662 | 2020-08-05 |
| 1386265601 | Dconstance Woodard | Social Worker | 117 Ashley Park Dr, Byram, MS 39272-6558 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on MRS. KELLY B. ROSS.
| 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.