Individual provider · Type 1 NPI

Emily Mira Fox, LCSW

Clinical Social Worker · Ponte Vedra, FL

NPI number 1770179749 Active

Practice location

777 Rembrandt Ave
Ponte Vedra, FL 32081-5033

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7377 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1770179749

Emily Mira Fox, LCSW's National Provider Identifier is 1770179749, issued on Dec 14, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponte Vedra, FL. The record was last updated on Dec 14, 2020.