Healthcare Provider Details

I. General information

NPI: 1033059852
Provider Name (Legal Business Name): AMY FOX LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GIRARD ST STE 100
GAITHERSBURG MD
20877-3467
US

IV. Provider business mailing address

8665 GEORGIA AVE
SILVER SPRING MD
20910-3405
US

V. Phone/Fax

Practice location:
  • Phone: 866-877-7258
  • Fax: 301-216-2891
Mailing address:
  • Phone: 866-877-7258
  • Fax: 301-585-1250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904016798
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number35066
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: