Active NPI
Katherine E Fox, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1952493025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000000606
- Practice address
- 1645 W Massey Rd
Memphis, TN 38120-4219 - Phone
- (800) 632-6074
- Fax
- (866) 341-7509
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000000606 | TN | Primary |
Addresses
Primary practice location
1645 W Massey Rd
Memphis, TN 38120-4219
Mailing address
PO Box 10414
Largo, FL 33773-0414
Phone (800) 632-6074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4056608 | Other | TN | BCBS # - PARADIGM |
| 3925946 | Medicaid | TN |
Other names 1
- Miss Katherine Carter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606 | TN | MD | Adult Development & Aging Psychologist |
| LSW0000000606 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health Services, Inc | Clinical | 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, 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": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1952493025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10414",
"city": "LARGO",
"state": "FL",
"postal_code": "337730414",
"telephone_number": "800-632-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 W MASSEY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204219",
"telephone_number": "800-632-6074",
"fax_number": "866-341-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "KATHERINE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000000606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS # - PARADIGM",
"identifier": "4056608",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3925946",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "CARTER",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.