Individual provider Active NPI

Connie C. Cox, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1831231885
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09024 Issued in NM
Practice address
2200 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1695
Phone
(505) 218-6383
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09024 NM Primary

Addresses

Primary practice location

2200 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1695

Mailing address

2200 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383

Other identifiers 1

IdentifierTypeStateIssuer
183123185MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cox@gdpsycheservices@doxy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930002012 NM Practitioner - Clinical Social Worker 0941530224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GD Psych Services, LLCGroup PAC ID 6204260474, 18 clinicians

Practice addresses (Care Compare)

2200 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-09024NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GD Psych Services, LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1831231885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-218-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-218-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CONNIE",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183123185",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cox@gdpsycheservices@doxy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2200 Grande Blvd SE Ste B",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871241695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.