Provider Demographics
NPI:1184213027
Name:COX, RENEE STEWART (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:STEWART
Last Name:COX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 BARBARY WAY
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-7952
Mailing Address - Country:US
Mailing Address - Phone:707-344-6911
Mailing Address - Fax:
Practice Address - Street 1:1837 BARBARY WAY
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-7952
Practice Address - Country:US
Practice Address - Phone:707-344-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490200271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical