Provider Demographics
NPI:1366186991
Name:FOY, GRACIE (LCSW)
Entity type:Individual
Prefix:
First Name:GRACIE
Middle Name:
Last Name:FOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:M
Other - Last Name:FOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:116 PARKVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-1310
Mailing Address - Country:US
Mailing Address - Phone:215-688-0413
Mailing Address - Fax:
Practice Address - Street 1:116 PARKVIEW RD
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-1310
Practice Address - Country:US
Practice Address - Phone:215-668-6182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0226831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical