Rozalyn Nicole Cox, PORVISIONAL LMSW

Individual provider Active NPI Clinical Social Worker · Clovis, NM

NPI 1760099006 · NPPES record last updated Mar 12, 2024

Key facts

NPI
1760099006
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SWB-2023-0644 (NM)
Practice address
1600 Sutter PL
Clovis, NM 88101-4611
Phone
(575) 769-4490
Fax
(575) 769-4330
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SWB-2023-0644NMMDClinical Social Worker
X-11515NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matt 25 Inc. Past Accepting new patients
Clovis Municipal Schools Past
since Oct 4, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2023-0644 NM Yes
School Social Worker 1041S0200X X-11515 NM

Addresses

Primary practice location

1600 Sutter PL
Clovis, NM 88101-4611

Mailing address

PO Box 19000
Clovis, NM 88102-9000
Phone (575) 769-4490

Other providers in Clovis, NM

All providers in Clovis, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.