MEDICARE: AMY VOGT COUNSELING, LLC

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

General Provider Information

NPI Number	:	1528918083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY VOGT COUNSELING, LLC

Provider Business Mailing Address
First Line	:	75 EASTLAND RD
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4605
Country	:	US
Telephone Number	:	617-936-0688
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 EASTLAND RD
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4605
Country	:	US
Telephone Number	:	617-936-0688
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	AMY VOGT
Credential	:	MSS/MLSP
Telephone Number	:	617-936-0688

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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