Provider Demographics
NPI:1760266571
Name:COX, DWILA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DWILA
Middle Name:
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 1:1300 LOCUST ST STE E
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-1366
Mailing Address - Country:US
Mailing Address - Phone:816-884-4004
Mailing Address - Fax:816-884-3414
Practice Address - Street 1:1300 LOCUST ST STE E
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-1366
Practice Address - Country:US
Practice Address - Phone:816-884-4004
Practice Address - Fax:816-884-3414
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0051641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical