Individual
MRS. DANIELLE MELISA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
460 BLOOMFIELD AVE STE 209, MONTCLAIR, NJ 07042-3552
(201) 214-1394
(908) 222-1658
Mailing address
460 BLOOMFIELD AVE STE 209, MONTCLAIR, NJ 07042-3552
(201) 214-1394
(908) 222-1658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04893100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-53959
UBH PROVIDER NUMBER
NJ
01
—
P2494190
OXFORD PROVIDER NUMBER
NJ
Enumeration date
11/21/2006
Last updated
07/08/2007
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