MEDICARE: STEPHANIE MARIE 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	104100000X	Social Worker	2023006623	MO

General Provider Information

NPI Number	:	1356944045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MARIE FOX LCSW

Provider Business Mailing Address
First Line	:	5701 NW 64TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2382
Country	:	US
Telephone Number	:	816-237-0175
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 NW 64TH TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2382
Country	:	US
Telephone Number	:	816-237-0175
Fax Number	:

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

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	01/21/2026

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