Provider Demographics
NPI:1760888754
Name:COX, ARTHUR J SR (DSW,LCSW)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:J
Last Name:COX
Suffix:SR
Gender:M
Credentials:DSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13720 OLD SAINT AUGUSTINE RD
Mailing Address - Street 2:STE 8221
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-7414
Mailing Address - Country:US
Mailing Address - Phone:904-608-9881
Mailing Address - Fax:
Practice Address - Street 1:8130 BAYMEADOWS CIR W
Practice Address - Street 2:STE 204
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-1812
Practice Address - Country:US
Practice Address - Phone:904-608-9881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCSW3926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL463635082Medicaid