Healthcare Provider Details

I. General information

NPI: 1720065667
Provider Name (Legal Business Name): BARBARA ELAINE FOXMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GERMANTOWN PIKE
LAFAYETTE HILL PA
19444-1818
US

IV. Provider business mailing address

8205 SEMINOLE ST
PHILADELPHIA PA
19118-3929
US

V. Phone/Fax

Practice location:
  • Phone: 215-620-4218
  • Fax: 215-248-3006
Mailing address:
  • Phone: 215-620-4218
  • Fax: 215-248-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012917
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: