Jennifer Rose Logan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.030298 Issued in IL

Practice address

1707 N Halsted St
Chicago, IL 60614-5501

Phone

(312) 440-1203

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1740060029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 N LEAVITT ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183892",
            "telephone_number": "708-289-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145501",
            "telephone_number": "312-440-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Adlai Stevenson Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627034261",
            "country_code": "US",
            "telephone_number": "415-360-3833 x03833",
            "fax_number": "628-234-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606473284",
            "country_code": "US",
            "telephone_number": "773-887-6447 x97454",
            "fax_number": "888-974-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.030298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Square Supportive Living LLC
• Logan Square Surgery Center
• Logan Square Surgery Center Corp
• Logan Square Urgent Care Center Corporation
• Charles Logan, MD
• Kelly Logan, M.D.
• Laura Ashley Logan, MSN, PMHNP-BC
• Lorretta G Logan
• Rebecca Lynn Logan
• Richard Lane Logan, RD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.