MEDICARE: MR. JEFFREY MORGAN COX LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	110974	MA

General Provider Information

NPI Number	:	1013117928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY MORGAN COX LICSW

Provider Business Mailing Address
First Line	:	125 E REGENA AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3626
Country	:	US
Telephone Number	:	315-921-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	USA MEDDAC
Second Line	:	11050 MOUNT BELVEDERE BLVD
City	:	FT DRUM
State	:	NY
Zip	:	13602
Country	:	US
Telephone Number	:	315-921-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	03/19/2025

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