Active NPI
Kaitlin Cox, LCSW
- Clinical Social Worker
- Meridian, TX
National Provider Identifier
1124584685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62518
- Practice address
- 407 South Hill Street
Meridian, TX 76665 - Phone
- (254) 435-2211
- Fax
- (254) 756-3133
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62518 | TX | Primary |
Addresses
Primary practice location
407 South Hill Street
Meridian, TX 76665
Mailing address
PO Box 890
Waco, TX 76703-0890
Phone (254) 752-3451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190311002552 | TX | Practitioner - Clinical Social Worker | 7810236759 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62518 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Region MHMR Center | Current | Accepting new patients |
Locations
2800 Lyle Ave
Waco, TX 76708
Phone (254) 297-7100
110 S 12th St
Waco, TX 76701
Phone (254) 297-7124
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waco, TX
- NPI 1639399132
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1124584685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890",
"city": "WACO",
"state": "TX",
"postal_code": "767030890",
"telephone_number": "254-752-3451",
"fax_number": "254-756-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 SOUTH HILL STREET",
"city": "MERIDIAN",
"state": "TX",
"postal_code": "76665",
"telephone_number": "254-435-2211",
"fax_number": "254-756-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "KAITLIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.