Ellen J Shabshai Fox, Lisw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I06240 Issued in NM

Legal business name

ELLEN J SHABSHAI FOX, LISW

Practice address

2400 Calle Amelia
Santa Fe, NM 87505-6280

Phone

(505) 699-4312

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Ellen J Shabshai Fox, 5056994312NPI 1932226057

Title

Director

Phone

(505) 699-4312

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen J Fox, LISW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1932226057
  NPD (past) Authorized official

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1194048447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CALLE AMELIA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056280",
            "telephone_number": "505-699-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CALLE AMELIA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056280",
            "telephone_number": "505-699-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN J SHABSHAI FOX, LISW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "J SHABSHAI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-699-4312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "5056994312"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I06240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000598",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth a. Buck
• Elizabeth C. Stirling LLC
• Elizabeth M. Wilson DMD LLC
• Scott Elledge, DMD
• Ellen J Shabshai Fox Lisw Inc
• Ellen Lefkowitz, Incorporated
• Ellewell, Inc.
• Brett Elliff
• Erica Merriam Elliott, MD
• Matthew L Ellis, PHARMD

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.