Logan Michael Hartsog

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00947175 Issued in WV

Practice address

102 Lincoln St
Beckley, WV 25801-5720

Phone

(304) 573-6461

Fax

(304) 573-6461

NPI assigned

Oct 14, 2025

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1023984234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LINCOLN ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015720",
            "telephone_number": "304-573-6461",
            "fax_number": "304-573-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LINCOLN ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015720",
            "telephone_number": "304-573-6461",
            "fax_number": "304-573-6461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1179 T J Jackson Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Falling Waters",
            "state": "WV",
            "postal_code": "254194698",
            "country_code": "US",
            "telephone_number": "304-278-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSOG",
        "first_name": "LOGAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00947175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Joyce Harrison, LPC, LSW
• Jordan Hart
• Julie Frances Hart, LICSW
• Serena Hart, M.S., C.C.C.-A
• Edith Jacqueline Hartsog, MSW
• Harvey Plaza Dental PLLC (Harvey Aesthetics & Wellness)
• Gregory Todd Harvey, DDS
• Harold Edward Harvey II, M.D.
• Jeffrey Russell Harvey, DDS
• Meghan D Harvey

• Clinical Social Worker in Beckley, WV
• Providers in Beckley, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.