Healthcare Provider Details

I. General information

NPI: 1154300465
Provider Name (Legal Business Name): KAREN VOJTECKY M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN VOJTECKY L.C.S.W.

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CMR 411 BOX 2402
APO AE
09112
DE

IV. Provider business mailing address

CMR 411 BOX 2402
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 314-476-3221
  • Fax: 314-476-3521
Mailing address:
  • Phone: 314-476-3221
  • Fax: 314-476-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1360933501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: