Provider Demographics
NPI:1083796304
Name:FOX, MARGARET M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:FOX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:SETER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1446 KITTIWAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950
Mailing Address - Country:US
Mailing Address - Phone:631-298-8034
Mailing Address - Fax:
Practice Address - Street 1:517 TAMIAMI TRAIL
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950
Practice Address - Country:US
Practice Address - Phone:631-298-8034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028021-11041C0700X
FLSW95401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN16641Medicare ID - Type Unspecified