Provider Demographics
NPI:1376125765
Name:COX CLINICAL SOCIAL WORK SERVICES P.C.
Entity Type:Organization
Organization Name:COX CLINICAL SOCIAL WORK SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:917-515-4389
Mailing Address - Street 1:2280 GRAND AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3110
Mailing Address - Country:US
Mailing Address - Phone:917-515-4389
Mailing Address - Fax:
Practice Address - Street 1:2280 GRAND AVE STE 310
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3110
Practice Address - Country:US
Practice Address - Phone:917-515-4389
Practice Address - Fax:516-812-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty