Individual provider Active NPI

Janet L. Logalbo, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1043391956
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0678 Issued in FL
Practice address
4041 Bahia Vista St
Sarasota, FL 34232-2421
Phone
(941) 378-1549
Fax
(941) 342-1781
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW0678 FL Primary

Addresses

Primary practice location

4041 Bahia Vista St
Sarasota, FL 34232-2421

Mailing address

11 Sunset Dr Apt 901
Sarasota, FL 34236-5553
Phone (941) 378-1549

Other identifiers 2

IdentifierTypeStateIssuer
Z8874OtherFLBCBS
479299OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0678FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Center Clinical PastSince Apr 7, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1043391956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUNSET DR APT 901",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365553",
            "telephone_number": "941-378-1549",
            "fax_number": "941-342-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 BAHIA VISTA ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322421",
            "telephone_number": "941-378-1549",
            "fax_number": "941-342-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGALBO",
        "first_name": "JANET",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z8874",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "479299",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.