Healthcare Provider Details

I. General information

NPI: 1518134261
Provider Name (Legal Business Name): ANNE KUGLER LICSW, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WATERMAN ST # 208
PROVIDENCE RI
02906-4313
US

IV. Provider business mailing address

49 GOVERNOR ST
PROVIDENCE RI
02906-3005
US

V. Phone/Fax

Practice location:
  • Phone: 401-339-4333
  • Fax: 401-216-6852
Mailing address:
  • Phone: 401-339-4333
  • Fax: 401-216-6852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number00834
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW01797
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW02769
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: