Provider Demographics
NPI:1235892191
Name:VOIGT, WHITNEY ANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ANNE
Last Name:VOIGT
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 1:1244 32ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-2303
Mailing Address - Country:US
Mailing Address - Phone:503-960-7852
Mailing Address - Fax:
Practice Address - Street 1:1244 32ND AVE NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-2303
Practice Address - Country:US
Practice Address - Phone:503-960-7852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL105881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty