Julie Ann Logan, LCSW
Individual provider Active NPI Clinical Social Worker · Cherry Valley, IL
NPI 1700058005 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1700058005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149011421 (IL)
- Practice address
- 1740 S Bell School Rd Ste B
Cherry Valley, IL 61016-9388 - Phone
- (815) 316-2621
- Fax
- (800) 493-9260
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000471 | IL | Practitioner - Clinical Social Worker | 3577584937 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie Logan Counseling, Inc | Clinical | Current |
Accepting new patients |
| Logan Counseling Inc. | Clinical | Past | Accepting new patients |
Locations
1740 S Bell School Rd
Ste B
Cherry Valley, IL 61016
Phone (815) 316-2621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149011421 | IL | Yes |
Addresses
Primary practice location
1740 S Bell School Rd Ste B
Cherry Valley, IL 61016-9388
Mailing address
1740 S Bell School Rd Ste B
Cherry Valley, IL 61016-9388
Phone (815) 316-2621
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlogan@loganhh.com | Direct | Logan Health & Healing Center, Inc |
Other providers in Cherry Valley, IL
- Julie Logan Counseling, Inc
- Don Kleindl III
- Edison Uy Lim
- LJ Speech Therapy PLLC
- Logan Health & Healing Center, Inc
- Jessey Mathew
- Mo Chara Hospice LLC
- Racheal Rene Morse
- Richard R. Olson
- Optimum Rehabilitation and Chiropractic, LTD.
All providers in Cherry Valley, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.