MEDICARE: LUCY CARTER FOX LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C005082	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457442493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCY CARTER FOX LCSW

Provider Business Mailing Address
First Line	:	1502 W NC HIGHWAY 54
Second Line	:	SUITE 103
City	:	DURHAM
State	:	NC
Zip	:	27707-5571
Country	:	US
Telephone Number	:	919-403-2122
Fax Number	:	919-401-4993

Provider Business Practice Location Address
First Line	:	1415 W NC HIGHWAY 54
Second Line	:	SUITE 207
City	:	DURHAM
State	:	NC
Zip	:	27707-5577
Country	:	US
Telephone Number	:	919-401-2933
Fax Number	:	919-401-2994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

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Directions to “ LUCY CARTER FOX LCSW” Practice Location

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