Provider Demographics
NPI:1063446201
Name:GATTA, ANGELA T (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:T
Last Name:GATTA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:T
Other - Last Name:RAMONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1405 WEDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1342
Mailing Address - Country:US
Mailing Address - Phone:302-530-5111
Mailing Address - Fax:
Practice Address - Street 1:702B KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-5111
Practice Address - Country:US
Practice Address - Phone:302-993-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00008181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical