Provider Demographics
NPI:1457653735
Name:PLUGUES, ANGELA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:PLUGUES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 W 17TH ST
Mailing Address - Street 2:#19B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4809
Mailing Address - Country:US
Mailing Address - Phone:917-270-3547
Mailing Address - Fax:
Practice Address - Street 1:7410 35TH AVE
Practice Address - Street 2:#107W
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-8197
Practice Address - Country:US
Practice Address - Phone:718-672-1538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078627-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health