MEDICARE: ADRIANE MARIE COX CSW-PIP

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	1041C0700X	Clinical Social Worker	1979	SD

General Provider Information

NPI Number	:	1013122431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANE MARIE COX CSW-PIP

Provider Business Mailing Address
First Line	:	132 FLORMANN ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5541
Country	:	US
Telephone Number	:	605-381-4308
Fax Number	:

Provider Business Practice Location Address
First Line	:	2202 MOUNT RUSHMORE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5312
Country	:	US
Telephone Number	:	605-633-5762
Fax Number	:

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	06/14/2026

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