Lynette Logan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

228608 Issued in MA

Practice address

100 New State Hwy
Raynham, MA 02767-5423

Phone

(781) 666-2711

Fax

(781) 666-2712

NPI assigned

Aug 24, 2016

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lynette D Logan Professional name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Spectrum Neuro Behavioral Care LLC

  dba SNBCare

  • Community/Behavioral Health Agency
  • North Smithfield, RI
  • NPI 1356906572

  MA

  Medicare reassignment Care Compare group NPD
• Metrowest Rheumatology, PC

  • Rheumatology Physician
  • Framingham, MA
  • NPI 1235193012
  NPD (past)
• Southern Hills Counseling Center, Inc.

  • Clinical Psychologist
  • Jasper, IN
  • NPI 1134118276
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1164977708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470769",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW STATE HWY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675423",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Lincoln St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017028264",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Union St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017607700",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Eversman Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475463548",
            "country_code": "US",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99074547A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "LOGAN",
            "middle_name": "D",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cynthia Leduc, LCSW
• Madysen Blayke Leone, NP
• Sean Lilienfeld, MBBCH
• Lion Heart Behavioral Health, Incorporated
• Barbara Lockwood, LICSW
• Iliana Lorenzo Sr., COUNSELOR
• Amy Katherine Losordo
• George W Lovett, MD
• Doretta Jean Lowney, LICSW
• Donald L Lucero, ED.D.

• Clinical Social Worker in Raynham, MA
• Providers in Raynham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.