Provider Demographics
NPI:1609025154
Name:ROSS, STEVEN LEON (LMSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LEON
Last Name:ROSS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 E 7TH ST APT 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8175
Mailing Address - Country:US
Mailing Address - Phone:917-406-7900
Mailing Address - Fax:
Practice Address - Street 1:59 E 7TH ST APT 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8175
Practice Address - Country:US
Practice Address - Phone:917-406-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077363-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker