| Tiffany Fox, Fox, | |
|
5268 Godwin Blvd, Suffolk, VA 23434-8114 | |
| (757) 255-7133 | |
| Not Available |
| Full Name | Tiffany Fox, Fox |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 5268 Godwin Blvd, Suffolk, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255209367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904019385 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Tidewater Community Mental | 2961476114 | 22 |
| Entity Name | Western Tidewater Community Mental |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689615296 PECOS PAC ID: 2961476114 Enrollment ID: O20040823001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Fox, Fox, 132 Long Bridge Way Apt F, Newport News, VA 23608-8431 Ph: (757) 793-1402 | Tiffany Fox, Fox, 5268 Godwin Blvd, Suffolk, VA 23434-8114 Ph: (757) 255-7133 |
Ms. Teresa J Bobbio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 1/2 Clay St, Suffolk, VA 23434 Phone: 757-965-8663 Fax: 757-539-8834 |
Danielle Brown Kashaija, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435 Phone: 757-966-2805 |
Mrs. Iona Evelyn Ellis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2034 Soundings Crescent Ct, Suffolk, VA 23435 Phone: 703-493-0891 |
Mr. Karl Miller, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Peck Ln, Suffolk, VA 23434 Phone: 757-910-6065 |
Nicole Buckley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2455 Cherry Blossom Dr, Suffolk, VA 23434 Phone: 757-285-7646 |
Mrs. Keyaira Annakiya White, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Rockland Ter, Suffolk, VA 23434 Phone: 757-967-1156 |
Miss Shaconda Larece Holloway, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5268 Godwin Blvd, Western Tidewater Mental Health, Suffolk, VA 23434 Phone: 757-255-7117 Fax: 757-255-7139 |