KRISTIN ROSS (LICSW) – Clinical Social Worker, NPI 1174921662

KRISTIN ROSS (LICSW) is a healthcare provider. based in Scituate, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 120614 (MA). The NPI Number for KRISTIN ROSS (LICSW) is 1174921662

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
KRISTIN ROSS (LICSW)
NPI
1174921662
Phone
(781) 544-3680
Address
21 CHERRY LN
Enumeration Date
15 December 2014
Last Update Date
16 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817834701
Graduation Year
2014 (12 years ago)
PAC ID
7618242132
Professional Enrollment ID
I20171010001973
Address ID
MA020434062HI160XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for KRISTIN ROSS (LICSW)

  • 21 CHERRY LN

    SCITUATE, MA 020661140

    Phone: (781) 544-3680

    Type: Mailing

  • 160 OLD DERBY ST STE 377

    HINGHAM, MA 020434011

    Phone: (781) 424-5382

    Fax: (508) 224-4797

    Type: Mailing

  • 160 OLD DERBY ST STE 338

    HINGHAM, MA 020434062

    Phone: (781) 424-5382

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171010001973IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour20114$0
View full utilization report →

Insurance plans in this area (ZIP 02066)

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Reviews

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Frequently asked questions

How is KRISTIN ROSS (LICSW) identified in CMS data?
CMS-hosted NPPES data lists KRISTIN ROSS (LICSW) with NPI 1174921662.
Does the file indicate KRISTIN ROSS (LICSW) is practicing under active NPI?
Directory data currently reports KRISTIN ROSS (LICSW) as active.
What is KRISTIN ROSS (LICSW)'s specialty?
The listing groups KRISTIN ROSS (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does KRISTIN ROSS (LICSW) list a practice location?
Patients near Scituate, Massachusetts may find KRISTIN ROSS (LICSW) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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