Provider Demographics
NPI:1801838503
Name:COLVA, ANGELA C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:C
Last Name:COLVA
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 1:719 US HIGHWAY 206
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1529
Mailing Address - Country:US
Mailing Address - Phone:908-281-4055
Mailing Address - Fax:908-369-0842
Practice Address - Street 1:719 US HIGHWAY 206
Practice Address - Street 2:SUITE 201
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1529
Practice Address - Country:US
Practice Address - Phone:908-281-4055
Practice Address - Fax:908-369-0842
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049452001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical