Provider Demographics
NPI:1780670471
Name:SAPP, ANNE COGGINS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:COGGINS
Last Name:SAPP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5775 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:BUILDING C, STE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1556
Mailing Address - Country:US
Mailing Address - Phone:770-395-0079
Mailing Address - Fax:404-256-2795
Practice Address - Street 1:5775 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:BUILDING C, STE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1556
Practice Address - Country:US
Practice Address - Phone:770-395-0079
Practice Address - Fax:404-256-2795
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001421104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
8OBBGJNMedicare ID - Type Unspecified