Individual provider · Type 1 NPI

Tracey Shaniece Ross, LCSW, LCADC

Clinical Social Worker · Fairfield, NJ

NPI number 1508486440 Active

Practice location

333B Route 46 W Ste 205
Fairfield, NJ 07004-2463

Mailing address

355 Old Tarrytown Rd Apt 408
White Plains, NY 10603-5624

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06008600 (NJ)
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00360500 (NJ)

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 1508486440

Tracey Shaniece Ross, LCSW, LCADC's National Provider Identifier is 1508486440, issued on Apr 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, NJ. The record was last updated on Oct 11, 2025.