Healthcare Provider Details
I. General information
NPI: 1972049138
Provider Name (Legal Business Name): ERICA MICHELLE VOGLER LMSW, CCDP-D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/12/2017
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 LYNCH ST
SAINT LOUIS MO
63118-1818
US
IV. Provider business mailing address
4176 RUSSELL BLVD APT 2W
SAINT LOUIS MO
63110-3634
US
V. Phone/Fax
- Phone: 314-535-5600
- Fax:
- Phone: 618-210-7561
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 9544 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 2015015775 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 2017033046 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: