Provider Demographics
NPI:1902216500
Name:LOGGIE, DENISE MCHUGH (LCSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MCHUGH
Last Name:LOGGIE
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 1:3468 W CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34433-2212
Mailing Address - Country:US
Mailing Address - Phone:352-220-2558
Mailing Address - Fax:352-489-6461
Practice Address - Street 1:3468 W CYPRESS DR
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34433-2212
Practice Address - Country:US
Practice Address - Phone:352-220-2558
Practice Address - Fax:352-489-6461
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW103231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical