Logan Ellington-Harrison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005852 Issued in VA

Practice address

135 S Saratoga St
Suffolk, VA 23434-5322

Phone

(757) 942-1985

Fax

(757) 925-2213

NPI assigned

Oct 2, 2006

Last updated

Feb 5, 2024By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• In Harmony Wellness Ihw LLC

  • Social Worker
  • Hampton, VA
  • NPI 1477047546
  Medicare reassignment NPD
• Western Tidewater Community Mental

  dba Western Tidewater Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Suffolk, VA
  • NPI 1689615296
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1780777961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DUNBAR DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348018",
            "telephone_number": "757-537-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SARATOGA ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345322",
            "telephone_number": "757-942-1985",
            "fax_number": "757-925-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON-HARRISON",
        "first_name": "LOGAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010105439",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010105366",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101079519",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria O Egbuniwe, PMHNP-BC
• David Meeks Eich, MD
• Courtney Anne Snyder Elhardt
• Michael James Eliason, M.D.
• Elite Primary Care and Aesthetics LLC
• Essence Elliott
• Ayana Damell Ellis
• Iona Evelyn Ellis, LCSW
• Ryan Ellis
• Tara Elsenpeter, MSSW

• Clinical Social Worker in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.