Individual provider Active NPI

Logan Hills, LCSW

  • Clinical Social Worker
  • Clayton, NC
National Provider Identifier
1427672443
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015012 Issued in NC
Practice address
1224 Grovewood Dr
Clayton, NC 27520-7296
Phone
(919) 748-0991
NPI assigned
Jun 5, 2020
Last updated
Apr 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014676 NC
Clinical Social Worker 1041C0700X C015012 NC Primary

Addresses

Primary practice location

1224 Grovewood Dr
Clayton, NC 27520-7296

Mailing address

1224 Grovewood Dr
Clayton, NC 27520-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230510000534 NC Practitioner - Clinical Social Worker 7012373459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

480 Ruin Creek Rd
Henderson, NC 27536-2929
Phone (252) 492-3152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015012NCMDClinical Social Worker
P014676NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Nov 20, 2023 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

480 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 492-3152

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1427672443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GROVEWOOD DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GROVEWOOD DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207296",
            "telephone_number": "919-748-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLS",
        "first_name": "LOGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.