Active NPI
Stephanie Logan
- Social Worker
- Stratford, CT
National Provider Identifier
1558157693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 30 Helen PL
Stratford, CT 06614-3914 - Phone
- (203) 556-6198
- NPI assigned
- Apr 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
30 Helen PL
Stratford, CT 06614-3914
Mailing address
425 Grant St
Bridgeport, CT 06610-3222
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": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1558157693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 GRANT ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066103222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HELEN PL",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066143914",
"telephone_number": "203-556-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2025-04-16",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.