MEDICARE: POLLY-GEAN 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	I.1801259	OH
2	1041C0700X	Clinical Social Worker	4793C	AL
3	1041C0700X	Clinical Social Worker	C010033	NC

General Provider Information

NPI Number	:	1922419423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POLLY-GEAN COX LCSW

Provider Business Mailing Address
First Line	:	4030 WAKE FOREST RD STE 349
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-0010
Country	:	US
Telephone Number	:	336-298-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	4030 WAKE FOREST RD STE 349
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-0010
Country	:	US
Telephone Number	:	336-298-1505
Fax Number	:

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

Provider Enumeration Date	:	05/19/2014
Last Update Date	:	06/18/2026

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