Provider Demographics
NPI:1306905302
Name:FOX, NAOMI (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 N CENTRAL RD
Mailing Address - Street 2:APT 11T
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024
Mailing Address - Country:US
Mailing Address - Phone:201-592-6989
Mailing Address - Fax:
Practice Address - Street 1:2200 N CENTRAL RD
Practice Address - Street 2:APT 11T
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7557
Practice Address - Country:US
Practice Address - Phone:201-592-6989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC142211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical