Provider Demographics
NPI:1508243759
Name:COX, EARL (LCSW)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 LENOX AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4465
Mailing Address - Country:US
Mailing Address - Phone:212-803-2850
Mailing Address - Fax:212-803-2899
Practice Address - Street 1:306 LENOX AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4465
Practice Address - Country:US
Practice Address - Phone:212-803-2850
Practice Address - Fax:212-803-2899
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0823221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical