Roy Everett Hogan, LCSW

Individual provider Active NPI Clinical Social Worker · North Logan, UT

NPI 1831487420 · NPPES record last updated Aug 15, 2026

Key facts

NPI
1831487420
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
10640565-3501 (UT)
Practice address
1620 N 200 E Apt 210
North Logan, UT 84341-3077
Phone
(385) 247-1212
Fax
(385) 466-4680
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10640565-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Consulting Outside of the Box a Professional Corporation Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60448962 WA
Clinical Social Worker 1041C0700X 10640565-3501 UT Yes
Clinical Social Worker 1041C0700X LCSW-40573 ID
Clinical Social Worker 1041C0700X 27620 MD
Clinical Social Worker 1041C0700X 2021037248 MO

Addresses

Primary practice location

1620 N 200 E Apt 210
North Logan, UT 84341-3077

Mailing address

PO Box 562
Logan, UT 84323-0562
Phone (385) 247-1212

Other providers in North Logan, UT

All providers in North Logan, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.