Provider Demographics
NPI:1518134261
Name:KUGLER, ANNE (LICSW, LP)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:KUGLER
Suffix:
Gender:F
Credentials:LICSW, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 GOVERNOR ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3005
Mailing Address - Country:US
Mailing Address - Phone:401-339-4333
Mailing Address - Fax:401-216-6852
Practice Address - Street 1:205 WATERMAN ST # 208
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4313
Practice Address - Country:US
Practice Address - Phone:401-339-4333
Practice Address - Fax:401-216-6852
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00834102L00000X
RICSW017971041C0700X
RIISW027691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst