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GERALDINE A FOX LCSW-C (MD) LICSW (W
NPI 1922394584
Social Worker - Clinical in Keyser, WV

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
158 N WHAT A VIEW LANE, KEYSER, WV 26726(304) 209-8609 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Jan 25, 2019 (2 updates tracked since 2019).

About Geraldine A Fox Lcsw-c (md) Licsw (w NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALDINE A FOX LCSW-C (MD) LICSW (W (NPI 1922394584) is an individual clinical provider in Keyser, West Virginia, licensed in West Virginia (DP00943935) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1922394584
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGERALDINE A FOXCredential: LCSW-C (MD) LICSW (W
Location Address158 N WHAT A VIEW LANEKeyser, WV 26726
Mailing Address158 N What A View LaneKeyser, WV 26726 · (304) 209-8609
Phone(304) 209-8609
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 22, 2011
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1922394584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WV · DP00943935✔ Licensed in MD · 19512✔ Licensed in VA · 0904018862
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
158 N WHAT A VIEW LANE, Keyser, WV 26726
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Geraldine A Fox Lcsw-c (md) Licsw (w is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890964779
PECOS Enrollment IDI20250506000584
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
373 services98 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
159 services40 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARING SPACE, PLLC
Social Worker (Clinical)
158 N WHAT A VIEW LANE
KEYSER, WV 26726
Mineral County (304) 209-8609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geraldine Fox's NPI number?

The NPI number for Geraldine Fox is 1922394584. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Geraldine Fox located?

Geraldine Fox practices at 158 N What A View Lane, Keyser, WV 26726. The listed phone number is (304) 209-8609.

What is Geraldine Fox's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Geraldine Fox enrolled in Medicare?

Yes. Geraldine Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Geraldine Fox accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Geraldine Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geraldine Fox was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.