Individual provider Active NPI

Deborah Fox, LCSW

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1629092341
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0268 Issued in FL
Practice address
100 S Pine Island Rd
Ste 230
Plantation, FL 33324-2613
Phone
(954) 370-2140
Fax
(954) 916-1252
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SW0268 FL Primary

Addresses

Primary practice location

100 S Pine Island Rd
Ste 230
Plantation, FL 33324-2613

Mailing address

311 NW 97TH LN
Coral Springs, FL 33071-6822
Phone (954) 346-8409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120626000520 FL Practitioner - Clinical Social Worker 9133384100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Stanley and Pearl Goodman JFS of Broward County IncGroup PAC ID 1850352618, 4 clinicians

Practice addresses (Care Compare)

5890 S Pine Island Rd
Suite 201
Davie, FL 33328-5936
Phone (954) 370-2140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0268FLMDClinical Social Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629092341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NW 97TH LN",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716822",
            "telephone_number": "954-346-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PINE ISLAND RD",
            "address_2": "STE 230",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242613",
            "telephone_number": "954-370-2140",
            "fax_number": "954-916-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.