Individual provider Active NPI

Logan Elizabeth Bolig, MSW,LSW,LCSW

  • Clinical Social Worker
  • York, PA
National Provider Identifier
1144997255
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW026899 Issued in PA
Practice address
3601 Concord Rd # a
York, PA 17402-8741
Phone
(717) 821-4438
Fax
(717) 340-4232
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140208 PA
Social Worker 104100000X PA
Clinical Social Worker 1041C0700X CW026899 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X 31674836 PA

Addresses

Primary practice location

3601 Concord Rd # a
York, PA 17402-8741

Mailing address

40 Dilworth Road
Millersville, PA 17551

Other practice location 1

37 W Frederick St
Millersville, PA 17551-1909
Phone (717) 871-4636

Other practice location 2

99 November Dr Ste 201
Camp Hill, PA 17011-5064
Phone (717) 694-6166

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW140208PAMDSocial Worker
CW026899PAMDClinical Social Worker
31674836PAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1144997255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DILWORTH ROAD",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "17551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CONCORD RD # A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028741",
            "telephone_number": "717-821-4438",
            "fax_number": "717-340-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W Frederick St",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "PA",
            "postal_code": "175511909",
            "country_code": "US",
            "telephone_number": "717-871-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 November Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170115064",
            "country_code": "US",
            "telephone_number": "717-694-6166",
            "fax_number": "717-219-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIG",
        "first_name": "LOGAN",
        "middle_name": "ELIZABETH",
        "credential": "MSW,LSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140208",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW026899",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "31674836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.