Individual provider Active NPI

Pamela Lorraine Fox, PHD, LCSW-S

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1548316995
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50138 Issued in TX
Practice address
3901 Arlington Highlands Blvd
Suite 200
Arlington, TX 76018-6001
Phone
(469) 236-5132
Fax
(972) 623-1050
NPI assigned
Jan 26, 2007
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 50138 TX
Mental Health Counselor 101YM0800X 50138 TX
Pastoral Counselor 101YP1600X 50138 TX
Professional Counselor 101YP2500X 50138 TX
Social Worker 104100000X 50138 TX
Clinical Social Worker 1041C0700X 50138 TX Primary
Marriage & Family Therapist 106H00000X 50138 TX

Addresses

Primary practice location

3901 Arlington Highlands Blvd
Suite 200
Arlington, TX 76018-6001

Mailing address

2208 Horned Owl Street
Grand Prairie, TX 75052-1956
Phone (469) 236-5132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1548316995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 HORNED OWL STREET",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521956",
            "telephone_number": "469-236-5132",
            "fax_number": "972-623-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186001",
            "telephone_number": "469-236-5132",
            "fax_number": "972-623-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "PAMELA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "50138",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "50138",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "50138",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "50138",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "50138",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50138",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "50138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.