Provider Demographics
NPI:1437366234
Name:ROSS, GAIL JOYCE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:JOYCE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 VILLAGE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8946
Mailing Address - Country:US
Mailing Address - Phone:919-928-0911
Mailing Address - Fax:919-928-0911
Practice Address - Street 1:108 VILLAGE CROSSING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8946
Practice Address - Country:US
Practice Address - Phone:919-928-0911
Practice Address - Fax:919-928-0911
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO49001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical