Isabel Logan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007979 Issued in CT

Practice address

674 Prospect Ave
206
Hartford, CT 06105-4288

Phone

(860) 550-1539

NPI assigned

Apr 28, 2017

Sex

Female

Sole proprietor

Yes

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1760917538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE",
            "address_2": "206",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054288",
            "telephone_number": "860-550-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE",
            "address_2": "206",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054288",
            "telephone_number": "860-550-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ISABEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Livingston, APRN
• Nina Livingston, MD
• Daniel Llerena
• Mark Lobato, MD
• Mirela Loftus, MD
• Jennifer C. Logan, M.D.
• J Daane Logsdon, DO
• William A. Lohrer, MD
• Athena M Loiacono, DO, MS
• Ewa Lojewska

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.