Provider Demographics
NPI:1235265604
Name:HOGAN, CHRISTA NOELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:NOELLE
Last Name:HOGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FREDE DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-4016
Mailing Address - Country:US
Mailing Address - Phone:732-899-7735
Mailing Address - Fax:
Practice Address - Street 1:1648 BAY AVE STE 2
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-4502
Practice Address - Country:US
Practice Address - Phone:732-899-0701
Practice Address - Fax:732-899-6962
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052706001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical