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NPI Code Detail

MEDICARE: CATHERINE COX LCSW

MEDICARE: CATHERINE 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
11041C0700XClinical Social Worker34006470AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619319951
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE COX LCSW
Provider Business Mailing Address
First Line : 2505 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3318
Country : US
Telephone Number : 317-554-5260
Fax Number : 317-554-5257
Provider Business Practice Location Address
First Line : 2505 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3318
Country : US
Telephone Number : 317-554-5260
Fax Number : 317-554-5257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2013
Last Update Date : 07/29/2013

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Directions to “ CATHERINE COX LCSW” Practice Location

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