Tiffany Fox, Fox – Clinical Social Worker

Key facts

NPI: 1255209367
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 0904019385 (VA)
Practice address: 5268 Godwin Blvd
Suffolk, VA 23434-8114
Phone: (757) 255-7133
NPI assigned: Oct 29, 2025
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Western Tidewater Community Mental Mental Health Clinic/Center (Including Community Mental Health Center) · Suffolk, VA · NPI 1689615296

Medicare reassignment Care Compare group NPD VA

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Western Tidewater Community Mental (22 clinicians)

Practice addresses (Care Compare)

1000 Commercial LN
Suffolk, VA 23434-8148
Phone (757) 966-2805

7025 Harbour View Blvd
Suite 119
Suffolk, VA 23435-2762
Phone (757) 966-2805

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20251210000591	VA	Practitioner - Mental Health Counselor	5395239131	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
0904019385	VA	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Western Tidewater Community Mental		Current since Nov 3, 2025	Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	0904019385	VA	Yes

Addresses

Primary practice location

5268 Godwin Blvd
Suffolk, VA 23434-8114

Mailing address

132 Long Bridge Way Apt F
Newport News, VA 23608-8431
Phone (757) 793-1402

Other providers in Suffolk, VA

Fourth Bay Ventures, LLC
Dana Christina Fowler, RN
Veronica Butrese Fowler, O.D.
Bryan Alan Fox, M.D.
Stephanie Elizabeth Fox, APRN
Valerie Reed Fox, LCSW
Kenneth Fraley III, QMHP-A, CSAC-S
Ana Belen Francis
Nakia Shantel Francis, NURSE PRACTITIONER
Aaron Jay Raflores Franco, APRN

All providers in Suffolk, VA · Clinical Social Worker in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.