Organization Active NPI

Katie J. Fox, MSW, Licsw, PLLC

  • Community/Behavioral Health Agency
  • Kennewick, WA
National Provider Identifier
1538634530
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KATIE J. FOX, MSW, LICSW, PLLC
Practice address
8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone
(509) 528-9593
Fax
(509) 381-7009
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Katie Fox, LICSW
Title
Licensed Social Worker
Phone
(509) 528-9593

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678

Mailing address

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone (509) 528-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204000341 WA Part B Supplier - Clinic/Group Practice 4981948858 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1538634530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-528-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-528-9593",
            "fax_number": "509-381-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE J. FOX, MSW, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "509-528-9593",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.