Provider Demographics
NPI:1487069175
Name:FOX, DALIA (LCSW)
Entity type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DALIA
Other - Middle Name:
Other - Last Name:KLANFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 WAYMONT CT STE 126
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3413
Mailing Address - Country:US
Mailing Address - Phone:407-990-0131
Mailing Address - Fax:
Practice Address - Street 1:200 WAYMONT CT STE 126
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3413
Practice Address - Country:US
Practice Address - Phone:407-990-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-22
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ISW74281041C0700X
FL121081041C0700X
FLSW121081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical