Mara Lynn Fox, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11602 Issued in TX

Practice address

6421 Camp Bowie Blvd
Suite 417
Fort Worth, TX 76116-5401

Phone

(817) 919-6957

Fax

(817) 919-9287

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lynn Fox Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1023199205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171745",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760031745",
            "telephone_number": "817-919-6957",
            "fax_number": "817-919-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD",
            "address_2": "SUITE 417",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165401",
            "telephone_number": "817-919-6957",
            "fax_number": "817-919-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "11602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "FOX",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chloe Fox, LMSW
• Heather Fox
• Jessie Fox, PHARMD
• Kimberly Renee Fox, LPC
• Lily Fox
• Nikki Shandell Fox, DO
• Sylvia Jean Fox, LPT
• Fox'S Counseling Services
• Foxworth Caring Services Dba Caring Senior Service
• Marquita Monique Foxworth

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.