Provider Demographics
NPI:1710382031
Name:FOXX, DOROTHY (LCSW)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:FOXX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 MORNING SPRINGS WALK
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2664
Mailing Address - Country:US
Mailing Address - Phone:678-837-8862
Mailing Address - Fax:678-302-6300
Practice Address - Street 1:1572 HIGHWAY 85 N STE 335
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7729
Practice Address - Country:US
Practice Address - Phone:678-837-8862
Practice Address - Fax:678-302-6300
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0052741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical