Provider Demographics
NPI:1164446191
Name:COX, KATHRYN A (MSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:COX
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14551
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98511-4551
Mailing Address - Country:US
Mailing Address - Phone:360-352-6222
Mailing Address - Fax:360-352-6222
Practice Address - Street 1:4815 EDGEWORTH DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-4970
Practice Address - Country:US
Practice Address - Phone:360-352-6222
Practice Address - Fax:360-352-6222
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000053341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical