Individual provider Active NPI

Adina L Fox, LISW

  • Clinical Social Worker
  • Ashland, OH
National Provider Identifier
1558579094
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009171 Issued in OH
Practice address
19 W Main St
Ste. 16
Ashland, OH 44805-2282
Phone
(419) 564-9490
Fax
(419) 496-2287
NPI assigned
May 18, 2007
Last updated
Jul 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

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 I-0009171 OH Primary

Addresses

Primary practice location

19 W Main St
Ste. 16
Ashland, OH 44805-2282

Mailing address

19 W Main St
Ste. 16
Ashland, OH 44805-2282
Phone (419) 564-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080222000262 OH Practitioner - Clinical Social Worker 2264516798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 W Main St
Suite 16
Ashland, OH 44805-2220
Phone (419) 564-9490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009171OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A. Fox Services, LLC CurrentSince Jan 17, 2008 Accepting new patients
Psychology Consultants Inc Clinical PastSince Nov 7, 1997 Accepting new patients
Counseling Center of Wayne & Holmes Counties PastSince Dec 5, 2014 Accepting new patients

Locations

19 W Main St
Ste 16
Ashland, OH 44805
Phone (419) 564-9490

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342224000000",
    "number": "1558579094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "address_2": "STE. 16",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052282",
            "telephone_number": "419-564-9490",
            "fax_number": "419-496-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "address_2": "STE. 16",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052282",
            "telephone_number": "419-564-9490",
            "fax_number": "419-496-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ADINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.