Provider Demographics
NPI:1780732297
Name:COX, DARRIN L (MSW)
Entity type:Individual
Prefix:
First Name:DARRIN
Middle Name:L
Last Name:COX
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 HIGHWAY 2 W
Mailing Address - Street 2:STE. 10
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-2912
Mailing Address - Country:US
Mailing Address - Phone:701-662-1046
Mailing Address - Fax:888-893-7316
Practice Address - Street 1:210 HIGHWAY 2 W
Practice Address - Street 2:STE. 10
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2912
Practice Address - Country:US
Practice Address - Phone:701-662-1046
Practice Address - Fax:888-893-7316
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2807104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1451279Medicaid