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General NPI Number Information
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NPI Number | 1275937591
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Entity Type | Organization
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Legal Business Name | SALLIE M. ROSS, LCSW, PLC
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 302 HICKMAN RD STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-3572
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Country | US
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Telephone | 434-962-3027
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Fax | 434-962-3027
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Provider Business Mailing Address
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Address Line | 1921 VIA FLORENCE RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-3557
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Country | US
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Telephone | 434-962-3027
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Fax | 434-282-2135
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Authorized Official
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Title or Position | LCSW
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Name | SALLIE ROSS
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Credential |
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Telephone | 434-962-3027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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