| Debra Fox Lcsw Llc | |
|
8401 Lake Worth Rd Suite 219 Lake Worth FL 33467-2400 | |
| (561) 312-6622 | |
| (561) 713-1175 |
| Full Name | Debra Fox Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8401 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Debra Fox (PRESIDENT) |
| Authorized Official Contact | 5613126622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Fox Lcsw Llc 8401 Lake Worth Rd Suite 219 Lake Worth FL 33467-2400 Ph: (561) 312-6622 | Debra Fox Lcsw Llc 8401 Lake Worth Rd Suite 219 Lake Worth FL 33467-2400 Ph: (561) 312-6622 |
| NPI Number | 1699964023 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 08/22/2011 |
| Medicare PECOS PAC ID | 0749370856 |
|---|---|
| Medicare Enrollment ID | O20071213000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699964023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8023 (Florida) | Primary |
| Provider Name | Debra L Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568450864 PECOS PAC ID: 8022112457 Enrollment ID: I20070324000063 |
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