Healthcare Provider Details

I. General information

NPI: 1124964804
Provider Name (Legal Business Name): CIARAH LENAI COX LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COLD SPRING RD APT C519
ROCKY HILL CT
06067-5327
US

IV. Provider business mailing address

300 COLD SPRING RD APT C519
ROCKY HILL CT
06067-5327
US

V. Phone/Fax

Practice location:
  • Phone: 860-897-4690
  • Fax:
Mailing address:
  • Phone: 860-897-4690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16564
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: