DEBORAH ROSS LISW LICDC NPI 1891226163

NPI Information

  • NPI: 1891226163
  • Provider Name: DEBORAH ROSS, LISW, LICDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35895 ROYALTON RD
    GRAFTON, OH
    ZIP 44044
  • Phone: (440) 529-9419

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NPI Details

Deborah Ross, LISW, LICDC is an addiction (substance use disorder) counselor in Grafton, OH with 6 years of experience. Deborah Ross, LISW, LICDC NPI is 1891226163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35895 ROYALTON RD
GRAFTON, OH
ZIP 44044-587
Phone: (440) 529-9419
Fax: (440) 588-8764

The NPI 1891226163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 1/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)162491OHIOYes
21041C0700XSocial WorkerClinicalI.2405407OHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10268831MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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