Roxanne Yolanda Logan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW134194 Issued in PA

Practice address

425 E Slocum St
Philadelphia, PA 19119-1946

Phone

(267) 253-6705

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1518580786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E SLOCUM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191946",
            "telephone_number": "267-253-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E SLOCUM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191946",
            "telephone_number": "267-253-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ROXANNE",
        "middle_name": "YOLANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW134194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "26997889",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/roxanne-logan-philadelphia-pa/315013",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 E Slocum St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191191946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Logan
• Gail Logan, MHS
• Gayle Vence Logan, MA,LMSW,LPC
• Jade Logan, PH.D., ABPP
• Jennifer B Logan, MD
• Susan Logan, CRNA
• Jazmin A Logendra, O.D.
• Logic Eyecare Inc
• Lia S Logio, MD
• Logos Medical Supply Inc.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.