MEDICARE: MRS. DEBORAH 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	LCS17210	CA
2	1041C0700X	Clinical Social Worker	LCS17210	CA

General Provider Information

NPI Number	:	1821121807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH FOX LCSW

Provider Business Mailing Address
First Line	:	445 N FORMOSA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2524
Country	:	US
Telephone Number	:	323-899-6630
Fax Number	:	323-653-2786

Provider Business Practice Location Address
First Line	:	6505 WILSHIRE BLVD
Second Line	:	SUITE 500
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4917
Country	:	US
Telephone Number	:	323-761-8816
Fax Number	:	323-761-8801

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	09/11/2025

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Directions to “ MRS. DEBORAH FOX LCSW” Practice Location

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