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NPI Code Detail

MEDICARE: ROGER FOX II LCSW

MEDICARE: ROGER FOX II 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
11041C0700XClinical Social Worker259981KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1259981OTHERKYKENTUCKY BOARD OF SOCIAL WORK
2257483OTHERKYKENTUCKY BOARD OF SOCIAL WORK

General Provider Information

NPI Number : 1528777570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER FOX II LCSW
Provider Business Mailing Address
First Line : 1623 FOXHAVEN DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1056
Country : US
Telephone Number : 859-625-5235
Fax Number : 859-625-5237
Provider Business Practice Location Address
First Line : 1621 FOXHAVEN DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1056
Country : US
Telephone Number : 859-625-5235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2022
Last Update Date : 02/04/2025

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