NPIMap

Individual provider Active NPI

Cheryl Lynn Logston, LCSW

  • Clinical Social Worker
  • Swansea, IL
National Provider Identifier
1669827150
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010743 Issued in IL
Practice address
5 Executive Woods CT
Lower Level
Swansea, IL 62226-2170
Phone
(618) 277-7570
Fax
(618) 277-6332
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.010743ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KH Counseling Clinical Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.010743 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

5 Executive Woods CT
Lower Level
Swansea, IL 62226-2170

Mailing address

5 Executive Woods CT
Lower Level
Swansea, IL 62226-2170
Phone (618) 277-7570

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2016.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1669827150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE WOODS CT",
            "address_2": "LOWER LEVEL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262170",
            "telephone_number": "618-277-7570",
            "fax_number": "618-277-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE WOODS CT",
            "address_2": "LOWER LEVEL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262170",
            "telephone_number": "618-277-7570",
            "fax_number": "618-277-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSTON",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.