Provider Demographics
NPI:1851578033
Name:APGAR, SANDRA ROSE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:ROSE
Last Name:APGAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:ROSE
Other - Last Name:ANILO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:25 ANISE CT
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050
Mailing Address - Country:US
Mailing Address - Phone:609-713-1055
Mailing Address - Fax:609-294-2019
Practice Address - Street 1:25 ANISE CT
Practice Address - Street 2:SUITE F2
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050
Practice Address - Country:US
Practice Address - Phone:609-713-1055
Practice Address - Fax:609-294-2019
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04656200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker