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General NPI Number Information
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NPI Number | 1083334239
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Entity Type | Individual
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Provider Name | CASEY FOX LCSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 420 COMMERCIAL AVE
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City | DARRINGTON
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State | WA
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Zip | 98241
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Country | US
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Telephone | 405-420-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 8825 34TH AVE NE STE L-143
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City | QUIL CEDA VILLAGE
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State | WA
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Zip | 98271-8085
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Country | US
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Telephone | 405-420-8955
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7432
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20376
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 61599556
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License Number State | WA
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