Provider Demographics
NPI:1083716609
Name:HOAGLAND, ANN L (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:L
Last Name:HOAGLAND
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:L
Other - Last Name:HOAGLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:525 ROUTE 70
Mailing Address - Street 2:SUITE A3
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-364-1922
Mailing Address - Fax:732-364-0171
Practice Address - Street 1:525 ROUTE 70
Practice Address - Street 2:SUITE A3
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701
Practice Address - Country:US
Practice Address - Phone:732-364-1922
Practice Address - Fax:732-364-0171
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046296001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ018357Medicare ID - Type Unspecified