Craig Michael Logan, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.130189 Issued in IL

Practice address

101 Chittyville Rd
Herrin, IL 62948-3552

Phone

(618) 498-0190

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1508761685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHITTYVILLE RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483552",
            "telephone_number": "618-498-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHITTYVILLE RD",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483552",
            "telephone_number": "618-498-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.130189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Primary Care
• Logan Primary Care
• Logan Primary Care Service Corp.
• Logan Primary Care Service Corporation
• Logan Primary Care Service Corporation
• Jessica Lohman, NP
• Timothy J Loughran, D.D.S
• Joshua Caleb Loyd, FNP-BC
• Jamie Lyn Mabry, APN/CNP
• Mackmalter Enterprises, Inc. (Alpha Home Health Care)

• Social Worker in Herrin, IL
• Providers in Herrin, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.