Emily Mira Fox, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7377 Issued in FL

Practice address

777 Rembrandt Ave
Ponte Vedra, FL 32081-5033

Phone

(904) 547-9915

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1770179749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 REMBRANDT AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815033",
            "telephone_number": "904-547-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 REMBRANDT AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815033",
            "telephone_number": "904-547-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "EMILY",
        "middle_name": "MIRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "7377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Rembrandt Ave",
            "city": "Ponte Vedra",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320815033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Fletcher
• Florida Ocd and Anxiety Specialists, LLC
• Kaitlin Fogarty
• Arnold Douglas Fong, M.D.
• Wiley Douglas Fowler III, PA-C
• Katherine Fox, PSY.D.
• Eugene B. Freid, MD
• Jessica A Frost, PHARMD
• Jefferson Pearce Futch, DPM
• William Keith Galer, MS, LMFT

• Clinical Social Worker in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.