| Shelly Cox Lcsw | |
|
6611 River Place Blvd Suite 203 Austin TX 78730-1162 | |
| (512) 997-8552 | |
| (512) 296-2510 |
| Full Name | Shelly Cox Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 6611 River Place Blvd, Austin, Texas |
| Authorized Official Name and Position | Shelly Cox (PRESIDENT/LCSW) |
| Authorized Official Contact | 5129978552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Cox Lcsw 6611 River Place Blvd Suite 203 Austin TX 78730-1162 Ph: (512) 997-8552 | Shelly Cox Lcsw 6611 River Place Blvd Suite 203 Austin TX 78730-1162 Ph: (512) 997-8552 |
| NPI Number | 1023554664 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 02/27/2017 |
| Medicare PECOS PAC ID | 3476837592 |
|---|---|
| Medicare Enrollment ID | O20170308001940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023554664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 28723 (Texas) | Primary |
| Provider Name | Shelly Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922299403 PECOS PAC ID: 6002996618 Enrollment ID: I20080109000198 |
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