MEDICARE: CHRISTOPHER RYAN VOGT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	65611	CA

General Provider Information

NPI Number	:	1700119450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER RYAN VOGT LCSW

Provider Business Mailing Address
First Line	:	66 CORWIN ST APT 17
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2357
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 CORWIN ST APT 17
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-2357
Country	:	US
Telephone Number	:	619-961-7399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	09/23/2025

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