Healthcare Provider Details

I. General information

NPI: 1063446201
Provider Name (Legal Business Name): ANGELA T. GATTA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA T. RAMONE LCSW

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702B KIRKWOOD HWY
WILMINGTON DE
19805-5111
US

IV. Provider business mailing address

1405 WEDGEWOOD RD
WILMINGTON DE
19805-1342
US

V. Phone/Fax

Practice location:
  • Phone: 302-993-9090
  • Fax:
Mailing address:
  • Phone: 302-530-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0000818
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: