Healthcare Provider Details

I. General information

NPI: 1184337248
Provider Name (Legal Business Name): SARAH JOAN FOX LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JOAN CARR

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 4TH AVE W
OLYMPIA WA
98501-1074
US

IV. Provider business mailing address

300 SAND DUNE AVE SW
OCEAN SHORES WA
98569-9340
US

V. Phone/Fax

Practice location:
  • Phone: 971-251-0886
  • Fax:
Mailing address:
  • Phone: 971-251-0886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70057555
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: