Individual provider Active NPI

Latoya Logan, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1174825632
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
23715 Mercantile Rd
Suite 203a
Beachwood, OH 44122-5933
Phone
(216) 292-2880
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 Primary

Addresses

Primary practice location

23715 Mercantile Rd
Suite 203a
Beachwood, OH 44122-5933

Mailing address

19612 Gladstone Rd
Warrensville Heights, OH 44122-6634
Phone (216) 751-0759

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

Practice roles

OrganizationSpecialtyStatusNew patients
Project Lift Behavioral Health Services Clinical Current Accepting new patients
Psycho Social Therapies,LTD PastSince Dec 10, 2023 Accepting new patients
Psycho Social Therapies,LTD Clinical PastSince Dec 10, 2023 Accepting new patients
Turning Corners Past Accepting new patients

Organizations & group practices 4

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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1174825632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19612 GLADSTONE RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226634",
            "telephone_number": "216-751-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23715 MERCANTILE RD",
            "address_2": "SUITE 203A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225933",
            "telephone_number": "216-292-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LATOYA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.