Healthcare Provider Details

I. General information

NPI: 1093392532
Provider Name (Legal Business Name): VICTORIA COX LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19372 RONALD W REAGAN BLVD STE 310
GEORGETOWN TX
78628-4269
US

IV. Provider business mailing address

19372 RONALD W REAGAN BLVD STE 310
GEORGETOWN TX
78628-4269
US

V. Phone/Fax

Practice location:
  • Phone: 512-522-8354
  • Fax:
Mailing address:
  • Phone: 512-522-8354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61536087
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109776
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: