Provider Demographics
NPI:1316919749
Name:VOGL, CLAUDIA E (LCSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:E
Last Name:VOGL
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 1:5651 NORTH S.R. 32
Mailing Address - Street 2:
Mailing Address - City:PEOA
Mailing Address - State:UT
Mailing Address - Zip Code:84061
Mailing Address - Country:US
Mailing Address - Phone:435-783-5323
Mailing Address - Fax:
Practice Address - Street 1:1753 SIDEWINDER DR
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-7258
Practice Address - Country:US
Practice Address - Phone:435-649-8347
Practice Address - Fax:435-649-2157
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1133282-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT107025299101OtherINTERMTN. HEALTHCARE
UTS16486Medicare ID - Type UnspecifiedMEDICARE ADVANTAGE PLANS
UT0013116002Medicare ID - Type UnspecifiedMEDICARE
S16486Medicare UPIN