Jeannette Logan-Lane, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0901024 Issued in OH

Practice address

24323 Sedley Rd
Richmond Heights, OH 44143-1305

Phone

(216) 244-0497

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Diversions, LLC

  • Clinical Social Worker
  • Euclid, OH
  • NPI 1356129456
  NPD Authorized official

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1770057820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24323 SEDLEY RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431305",
            "telephone_number": "216-244-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24323 SEDLEY RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431305",
            "telephone_number": "216-244-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN-LANE",
        "first_name": "JEANNETTE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0901024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Solutions Care Agency
• Lifevitality USA Medical Group, LLC
• Lavance Vance Lining Sr.
• Sharia Livingston, RN
• Cynthia Logan Baker
• Autumn Long
• Arlene Jane Sahara Campo Losloso, D.O.
• Tiana Lovelace, PHARMD
• Luxottica of America Inc. (Lenscrafters #064)
• Lakeisha Madden, NP

• Social Worker in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.