Ross, Georgia Antoinette

Ross, Georgia Antoinette is an sole proprietor health care provider with primary practice located at 507 N Jefferson St , New Castle PA 16101-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ross, Georgia Antoinette can be contacted via phone (724) 674-2431.

Contact Information

Primary practice address
507 N Jefferson St New Castle PA 16101-2114
Phone: (724) 674-2431
Fax: (724) 654-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014088L Pennsylvania

Profile Details

NPI number 1770687097
LBN Legal business name Ross, Georgia Antoinette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770687097 NPPES
Pennsylvania Other R0522762 HIGHMARK BLUE SHIELD FEP
Pennsylvania Other 155830 HIGHMARK BLUE SHIELD FEP

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