Provider Demographics
NPI:1376198150
Name:VOGTS, AVERY (LSCSW)
Entity Type:Individual
Prefix:
First Name:AVERY
Middle Name:
Last Name:VOGTS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:AVERY
Other - Middle Name:
Other - Last Name:VOGTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 N MAIN ST STE 156
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-2211
Mailing Address - Country:US
Mailing Address - Phone:316-833-7924
Mailing Address - Fax:
Practice Address - Street 1:500 N MAIN ST STE 156
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2211
Practice Address - Country:US
Practice Address - Phone:316-833-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10901104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker