Individual provider Active NPI

Logan Robertson, PLMSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1538085642
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PLMSW Issued in AR
Practice address
2928 N McKee Cir Ste 119
Fayetteville, AR 72703-3465
Phone
(479) 995-2767
NPI assigned
Jun 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PLMSW AR Primary

Addresses

Primary practice location

2928 N McKee Cir Ste 119
Fayetteville, AR 72703-3465

Mailing address

1401 SE Walton Blvd Ste 219
Bentonville, AR 72712-3750
Phone (479) 995-2767

Other practice location 1

1401 SE Walton Blvd Ste 219
Bentonville, AR 72712-3750
Phone (479) 995-2767

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

NPI Registry JSON

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1538085642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SE WALTON BLVD STE 219",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123750",
            "telephone_number": "479-995-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 N MCKEE CIR STE 119",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033465",
            "telephone_number": "479-995-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 SE Walton Blvd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123750",
            "country_code": "US",
            "telephone_number": "479-995-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LOGAN",
        "credential": "PLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "PLMSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.