Michael Dewayne Logan, MSW, MCJ, BCJ

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

201 W Montgomery St
Gaffney, SC 29341-1773

Phone

(864) 487-2721

NPI assigned

Jan 30, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherokee County Commission on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Gaffney, SC
  • NPI 1518965839

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1003629304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SPRING ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402930",
            "telephone_number": "864-425-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MONTGOMERY ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411773",
            "telephone_number": "864-487-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MICHAEL",
        "middle_name": "DEWAYNE",
        "credential": "MSW, MCJ, BCJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeguard Ambulance Service LLC
• Limestone College
• Patty S Lippard, MA, CCS
• Johnea Littlejohn, LCSWA
• Victor Ross Locklear, DC
• David J Lydon, D.O.
• Kalin Mabry, MSN, RN
• Kristin Marie Mabry
• Trisha Magnuson, FNP-BC
• Deashia Nicole Makupson

• Addiction (Substance Use Disorder) Counselor in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.