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HEATHER ROSS
NPI 1053715177
Social Worker - Clinical in New London, WI

Active since October 17, 2014Opted out of Medicare · through Sep 17, 2026
E7475 RAWHIDE RD, NEW LONDON, WI 54961(920) 531-2654 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Ross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER ROSS (NPI 1053715177) is an individual clinical provider in New London, Wisconsin, licensed in Wisconsin (8657-123) and active in the NPI registry since October 2014. She has opted out of Medicare through September 17, 2026.

NPPES Registry Identity

NPI1053715177
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER ROSS
Location AddressE7475 RAWHIDE RDNew London, WI 54961-9025
Mailing AddressE7475 Rawhide RdNew London, WI 54961-9025 · (920) 538-5834
Phone(920) 531-2654
Sole ProprietorNo
Enumeration DateOctober 17, 2014
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1053715177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 8657-123
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
E7475 RAWHIDE RD, New London, WI 54961
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather Ross has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 17, 2024 through September 17, 2026.

Opt-Out Effective DateSeptember 17, 2024
Opt-Out In Effect ThroughSeptember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA BETH MARTIN
Counselor (Professional)
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (877) 300-9101
NATHAN KING
Social Worker
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (920) 981-6100
LISA BEHNKE MA
Counselor (Professional)
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (920) 531-2651
KATHLEEN GRACE KLINGSEISEN M.S.W., LCSW
Social Worker (Clinical)
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (877) 300-9101
HANNAH CHRISTINE KONETZKE CSAC, LPC-IT
Counselor
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (920) 982-6100
MR. KENNETH JOHN SCHROEDER I MA, LPC
Counselor (Professional)
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (920) 538-4504
GAL DAHAN
Counselor (Professional)
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (920) 982-6100
GABRIELLE R GORE
Counselor (Professional)
E7475 RAWHIDE RD
NEW LONDON, WI 54961
Waupaca County (715) 610-0139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Ross's NPI number?

The NPI number for Heather Ross is 1053715177. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Heather Ross located?

Heather Ross practices at E7475 Rawhide Rd, New London, WI 54961. The listed phone number is (920) 531-2654.

What is Heather Ross's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heather Ross enrolled in Medicare?

No. Heather Ross has opted out of Medicare through September 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Heather Ross accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Heather Ross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Ross was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.