Logan Elizabeth Ikenberry, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015512 Issued in NC

Practice address

936 Northbrook Dr
Raleigh, NC 27609-5518

Phone

(919) 395-4614

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

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

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1518616382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 ORANGE CHAPEL CLOVER GARDEN RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 NORTHBROOK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095518",
            "telephone_number": "919-395-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKENBERRY",
        "first_name": "LOGAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Udochi Ihegaranya
• Tamara Mae Ihenyen
• Mercedes Nicole Barrett Ijames, LCSW
• Joseph Chibuike Ike
• Chinenye Ikeme
• Amro Ilaiwy, MD
• Kumar Ilangovan, M.D., MSPH, MMCI
• Kimberly Iles, RD
• Simona A Ilizarov, PA-C
• Mindi McLaurin Illig, PT

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.