Provider Demographics
NPI:1063973600
Name:COX, EMERALD JEWEL
Entity type:Individual
Prefix:
First Name:EMERALD
Middle Name:JEWEL
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26429 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-2464
Mailing Address - Country:US
Mailing Address - Phone:313-359-8271
Mailing Address - Fax:
Practice Address - Street 1:26429 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-2464
Practice Address - Country:US
Practice Address - Phone:313-359-8271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511206381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical