MS. SHANNAN JO ROSS LICSW
NPI 1578998191
Social Worker in Tacoma, WA

Q: What is Shannan Ross's NPI number?

The NPI number for Shannan Ross is 1578998191. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Q: What is Shannan Ross's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shannan Ross was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 13, 2013PECOS Enrolled

4301 S PINE ST STE 301, TACOMA, WA 98409(253) 476-6500(253) 476-6547 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2022, Sep 20, 2019, Apr 12, 2019 and 1 more (4 updates tracked since 2019).

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About Ms. Shannan Jo Ross Licsw NPPES

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

MS. SHANNAN JO ROSS LICSW (NPI 1578998191) is an individual social worker in Tacoma, Washington, licensed in Washington (LW60268179) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roy.

NPPES Registry Identity

NPI1578998191

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. SHANNAN JO ROSSCredential: LICSW

Location Address4301 S PINE ST STE 301Tacoma, WA 98409-7206

Mailing Address28118 19th Ave ERoy, WA 98580-9506 · (253) 254-2012

Phone(253) 476-6500

Fax(253) 476-6547

Sole ProprietorYes

Enumeration DateSeptember 13, 2013

Last NPPES UpdateFebruary 16, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2024

✔ NPI 1578998191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WA · LW60268179

Definition

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.

4301 S PINE ST STE 301, Tacoma, WA 98409

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Secondary Practice Location 1

Location 128118 19th Ave ERoy, WA 98580-9506 · Phone (253) 254-2012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shannan Jo Ross Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

ALAINA NICOLE CRUSE CCC-SLP

Speech-Language Pathologist