Individual provider Active NPI

Felise Nan Fox, LCSW,BCD

  • Clinical Social Worker
  • Lynbrook, NY
National Provider Identifier
1780872135
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO17871-1 Issued in NY
Practice address
200 Atlantic Ave
Suite North
Lynbrook, NY 11563-3505
Phone
(516) 593-0839
Fax
(516) 867-5538
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 RO17871-1 NY Primary

Addresses

Primary practice location

200 Atlantic Ave
Suite North
Lynbrook, NY 11563-3505

Mailing address

200 Atlantic Ave
Suite North
Lynbrook, NY 11563-3505
Phone (516) 593-0839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050211000031 NY Practitioner - Clinical Social Worker 3173575750 Practice locations: Lynbrook, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Atlantic Ave
Lynbrook, NY 11563-3513
Phone (516) 593-0839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO17871-1NYMDClinical Social Worker
017871NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Discover & Reflect Psychological Services Past Accepting new patients

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1780872135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE",
            "address_2": "SUITE NORTH",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633505",
            "telephone_number": "516-593-0839",
            "fax_number": "516-867-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE",
            "address_2": "SUITE NORTH",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633505",
            "telephone_number": "516-593-0839",
            "fax_number": "516-867-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "FELISE",
        "middle_name": "NAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO17871-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.