MEDICARE: RACHEL ELIZABETH COX LCSW

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	23358	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	800013997	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	86371Q	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1548221906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELIZABETH COX LCSW

Provider Business Mailing Address
First Line	:	22804 COUNTY ROAD 431
Second Line	:
City	:	LINDALE
State	:	TX
Zip	:	75771-3681
Country	:	US
Telephone Number	:	469-964-6018
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 PALUXY DR STE 431
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-1659
Country	:	US
Telephone Number	:	469-964-6018
Fax Number	:

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	08/03/2020

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