Provider Demographics
NPI:1215994041
Name:COGGER, ANNE E (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:COGGER
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 1:75 LONG COVE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:ME
Mailing Address - Zip Code:04860-5030
Mailing Address - Country:US
Mailing Address - Phone:207-372-6762
Mailing Address - Fax:
Practice Address - Street 1:1019 COMMERCIAL STREET
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-841-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC95291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical