Provider Demographics
NPI:1366576381
Name:FOX-BOW, JOAN P (MA, LCSW)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:P
Last Name:FOX-BOW
Suffix:
Gender:F
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 RUTLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-5012
Mailing Address - Country:US
Mailing Address - Phone:914-962-7297
Mailing Address - Fax:914-962-7297
Practice Address - Street 1:220 ROUTE 6
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-3850
Practice Address - Country:US
Practice Address - Phone:914-584-8124
Practice Address - Fax:914-214-4842
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP0483301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical