Provider Demographics
NPI:1831721943
Name:FOX, CASSIDY (LCSWA)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2132
Mailing Address - Country:US
Mailing Address - Phone:828-308-1793
Mailing Address - Fax:
Practice Address - Street 1:120 E ORANGE ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2132
Practice Address - Country:US
Practice Address - Phone:828-308-1793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0140581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical