Individual provider Active NPI

Joan P. Fox-Bow, MA, LCSW

  • Clinical Social Worker
  • Mahopac, NY
National Provider Identifier
1366576381
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P048330 Issued in NY
Practice address
220 Route 6
Mahopac, NY 10541-3850
Phone
(914) 584-8124
Fax
(914) 214-4842
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P048330 NY Primary

Addresses

Primary practice location

220 Route 6
Mahopac, NY 10541-3850

Mailing address

474 Rutledge Dr
Yorktown Heights, NY 10598-5012
Phone (914) 962-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250416000075 NY Practitioner - Clinical Social Worker 9638694375 Practice locations: Mahopac, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Mahopac, NY 10541
Phone (914) 584-8124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P048330NYMDClinical Social Worker
048330NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1366576381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 RUTLEDGE DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105985012",
            "telephone_number": "914-962-7297",
            "fax_number": "914-962-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROUTE 6",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413850",
            "telephone_number": "914-584-8124",
            "fax_number": "914-214-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX-BOW",
        "first_name": "JOAN",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P048330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.