Provider Demographics
NPI:1164122941
Name:TRUGLIA, ANNA (LSW, LCADC INTERN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TRUGLIA
Suffix:
Gender:F
Credentials:LSW, LCADC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 COLTS NECK RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-3644
Mailing Address - Country:US
Mailing Address - Phone:732-864-7713
Mailing Address - Fax:
Practice Address - Street 1:280 STUART ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1235
Practice Address - Country:US
Practice Address - Phone:732-864-7713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker