Provider Demographics
NPI:1730625369
Name:COX, KARA R (LCSW, LCAC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:R
Last Name:COX
Suffix:
Gender:F
Credentials:LCSW, LCAC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:L
Other - Last Name:FELLOWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62439-2027
Mailing Address - Country:US
Mailing Address - Phone:618-943-3302
Mailing Address - Fax:618-943-3657
Practice Address - Street 1:2101 JAMES ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62439-2027
Practice Address - Country:US
Practice Address - Phone:618-943-3302
Practice Address - Fax:618-943-3657
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87001688A101YA0400X
IN34008925A101YM0800X, 1041C0700X
104100000X
IN33009092A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker