Individual provider · Type 1 NPI

Eboni Ross

Clinical Social Worker · Wixom, MI

NPI number 1497460596 Active

Practice location

51229 Century Ct
Wixom, MI 48393-2074

Call (313) 938-8380 Map

Mailing address

22493 Chippewa St
Detroit, MI 48219-1112

Other practice locations

  • 22493 Chippewa St, Detroit, MI 48219-1112 · (313) 938-8380

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851121545 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1497460596

Eboni Ross's National Provider Identifier is 1497460596, issued on Jan 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wixom, MI. The record was last updated on Sep 21, 2026.