| Doctor Name: | NANCY S ROSS |
| NPI Number: | 1093739195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW-CP |
| License Number: | 5021 |
| Business Practice Address: | 10000 Broad River Rd Irmo, SC - 290632361 |
| Business Phone Number: | 8037304993 |
| Business Fax Number: | 8034344918 |
| Mailing Address: | 208 Copper Ridge Rd, COLUMBIA |
| State: | SC |
| Postal Code: | 292128212 |
| Phone Number: | 8037304993 |
| Fax Number: | 8034344918 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |