Provider Demographics
NPI:1336477561
Name:FOX, VIRGINIA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:L
Last Name:FOX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:VIRGINIA
Other - Middle Name:FOX
Other - Last Name:WEISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1526 FAIRMONT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2687
Mailing Address - Country:US
Mailing Address - Phone:412-607-0951
Mailing Address - Fax:
Practice Address - Street 1:4721 MCKNIGHT RD
Practice Address - Street 2:SUITE 218 SOUTH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-939-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health