Active NPI
Logan Hearron, LCSW, PMH-C
- Clinical Social Worker
- Fayetteville, AR
National Provider Identifier
1518704600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11145-M
- Practice address
- 1747 N College Ave Ste a
Fayetteville, AR 72703-2606 - Phone
- (479) 305-2907
- Fax
- (833) 435-3994
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11145-M | AR | Primary |
Addresses
Primary practice location
1747 N College Ave Ste a
Fayetteville, AR 72703-2606
Mailing address
1747 N College Ave Ste a
Fayetteville, AR 72703-2606
Phone (479) 305-2907
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11145-M | AR | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Fayetteville, AR
- NPI 1386434645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1518704600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 N COLLEGE AVE STE A",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032606",
"telephone_number": "479-305-2907",
"fax_number": "833-435-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 N COLLEGE AVE STE A",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032606",
"telephone_number": "479-305-2907",
"fax_number": "833-435-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARRON",
"first_name": "LOGAN",
"credential": "LCSW, PMH-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "11145-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
- Healing Arts Medical Center PA (Healing Arts Medical Center)
- Healing House
- Healing Spirit Therapies, LLC
- Healogics Specialty Physicians of Arkansas, PLLC
- Health Lanes LLC
- Heartland Wellness Collaborative
- Heather Zelaya Therapy PLLC
- Danette Eileen Heckathorn, PH.D.
- Jill C Heckman
- Richard Carl Heckmann, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.