Provider Demographics
NPI:1902020316
Name:VOIGT, VIRGINIA E (MSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:E
Last Name:VOIGT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 GROTTO WALK
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7107
Mailing Address - Country:US
Mailing Address - Phone:410-750-7843
Mailing Address - Fax:410-988-2754
Practice Address - Street 1:3355 SAINT JOHNS LN STE F
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2600
Practice Address - Country:US
Practice Address - Phone:410-480-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD075851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD53292303OtherCFBCBSMD RENDERING PROV #
MD7832-0001Medicare UPIN
MDQY62VEMedicare UPIN
MD53292303OtherCFBCBSMD RENDERING PROV #