| Katie J. Fox, Msw, Licsw, Pllc | |
|
8350 W Grandridge Blvd Ste 200 Kennewick WA 99336-1678 | |
| (509) 528-9593 | |
| (509) 381-7009 |
| Full Name | Katie J. Fox, Msw, Licsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8350 W Grandridge Blvd Ste 200, Kennewick, Washington |
| Authorized Official Name and Position | Katie Fox (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 5095289593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie J. Fox, Msw, Licsw, Pllc 8350 W Grandridge Blvd Ste 200 Kennewick WA 99336-1678 Ph: (509) 528-9593 | Katie J. Fox, Msw, Licsw, Pllc 8350 W Grandridge Blvd Ste 200 Kennewick WA 99336-1678 Ph: (509) 528-9593 |
| NPI Number | 1538634530 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 11/07/2018 |
| Medicare PECOS PAC ID | 4981948858 |
|---|---|
| Medicare Enrollment ID | O20181204000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538634530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Kathryn Joy Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740461680 PECOS PAC ID: 5193909075 Enrollment ID: I20110419000095 |
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