Provider Demographics
NPI:1295083681
Name:FOX, SHANEEKA MIOSHA (MSW)
Entity type:Individual
Prefix:MRS
First Name:SHANEEKA
Middle Name:MIOSHA
Last Name:FOX
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:SHANEEKA
Other - Middle Name:MIOSHA
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1241 NW 77TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-6447
Mailing Address - Country:US
Mailing Address - Phone:305-308-2529
Mailing Address - Fax:305-779-9601
Practice Address - Street 1:155 S MIAMI AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1617
Practice Address - Country:US
Practice Address - Phone:305-779-9688
Practice Address - Fax:305-779-9601
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical