Provider Demographics
NPI:1912972068
Name:COX, SCOTT DAVID (LISW)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DAVID
Last Name:COX
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2212 PIERCE ST
Mailing Address - Street 2:SU 100
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-3871
Mailing Address - Country:US
Mailing Address - Phone:712-255-8323
Mailing Address - Fax:712-255-8287
Practice Address - Street 1:2212 PIERCE ST
Practice Address - Street 2:SU 100
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-3871
Practice Address - Country:US
Practice Address - Phone:712-255-8323
Practice Address - Fax:712-255-8287
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05794104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker