Provider Demographics
NPI:1376692913
Name:ROGGE-SETTANNI, GAY-ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAY-ANN
Middle Name:
Last Name:ROGGE-SETTANNI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GAY- ANN
Other - Middle Name:
Other - Last Name:ROGGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:707 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1458
Mailing Address - Country:US
Mailing Address - Phone:609-383-3330
Mailing Address - Fax:609-383-3301
Practice Address - Street 1:707 WHITE HORSE PIKE
Practice Address - Street 2:SUITE A-3
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1458
Practice Address - Country:US
Practice Address - Phone:609-383-3330
Practice Address - Fax:609-383-3301
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00367300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC00367300OtherSTATE LICENSE FOR LCSW
NJ44SC00367300OtherSTATE LICENSE FOR LCSW