Active NPI
Katie J. Fox, MSW, Licsw, PLLC
- Community/Behavioral Health Agency
- Kennewick, WA
National Provider Identifier
1538634530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Richland, WA
- NPI 1740461680
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.