Individual provider Active NPI

Sandie W Fox, LCSW, LCADC

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1003853813
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NV 2105C Issued in NV
Practice address
505 S Arlington Ave
Ste 212a
Reno, NV 89509-1527
Phone
(775) 544-5650
Fax
(775) 870-1310
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NV 2105C NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NV00191-LC NV

Addresses

Primary practice location

505 S Arlington Ave
Ste 212a
Reno, NV 89509-1527

Mailing address

505 S Arlington Ave
Ste 212a
Reno, NV 89509-1527
Phone (775) 544-5650

Other identifiers 1

IdentifierTypeStateIssuer
100508118MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000460 NV Practitioner - Clinical Social Worker 6305882572 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 S Arlington Ave
212A
Reno, NV 89509-1527
Phone (775) 544-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NV00191-LCNVMDAddiction (Substance Use Disorder) Counselor
NV 2105CNVMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1003853813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S ARLINGTON AVE",
            "address_2": "STE 212A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091527",
            "telephone_number": "775-544-5650",
            "fax_number": "775-870-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S ARLINGTON AVE",
            "address_2": "STE 212A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091527",
            "telephone_number": "775-544-5650",
            "fax_number": "775-870-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SANDIE",
        "middle_name": "W",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "NV 2105C",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "NV00191-LC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508118",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.