Provider Demographics
NPI:1154037265
Name:COX, KELSEY NICOLE (MSW, SWC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:NICOLE
Last Name:COX
Suffix:
Gender:F
Credentials:MSW, SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 COLUMBINE ST APT 304
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2367
Mailing Address - Country:US
Mailing Address - Phone:208-720-9873
Mailing Address - Fax:
Practice Address - Street 1:217 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3504
Practice Address - Country:US
Practice Address - Phone:720-893-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO.0000001125104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty