Rebecca Logue, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61187213 Issued in WA

Practice address

11400 SE 6TH St Ste 200
Bellevue, WA 98004-6423

Phone

(425) 454-1199

NPI assigned

Sep 25, 2017

Sex

Female

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

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 and National Provider Directory roles.

• Thira Health

  • Adult Mental Health Clinic/Center
  • Bellevue, WA
  • NPI 1720483480
  NPD

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1174032957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046423",
            "telephone_number": "425-454-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046423",
            "telephone_number": "425-454-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61187213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Loeb, M.D.
• Michele Loewy, LMFT
• Danielle Logan
• Nancy Logan, MA
• Loredana Loghin, ARNP, CNM
• Alice N Loh, L.M.P.
• Stacy Lohrer, LMP
• Grant R. Lohse, M.D.
• Kayelissa Long
• Olivia Long

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Social Worker in Washington

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