Provider Demographics
NPI:1831178037
Name:COSGROVE, ANN E (MSW)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:E
Last Name:COSGROVE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:GOLDEN
Other - Last Name:COSGROVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:207 SALEM CT
Mailing Address - Street 2:#7
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7045
Mailing Address - Country:US
Mailing Address - Phone:609-273-0829
Mailing Address - Fax:
Practice Address - Street 1:154 TAMARACK CIR
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2021
Practice Address - Country:US
Practice Address - Phone:609-273-0829
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006594001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ038830Medicare ID - Type Unspecified