Individual provider Active NPI

Logan Pfeifer, LCSW, MSW, CDCA

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1861927428
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009278A Issued in IN
Practice address
8320 Madison Ave
Indianapolis, IN 46227-6066
Phone
(317) 882-5122
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1600211 OH
Clinical Social Worker 1041C0700X 34009278A IN Primary

Addresses

Primary practice location

8320 Madison Ave
Indianapolis, IN 46227-6066

Mailing address

8320 Madison Ave
Indianapolis, IN 46227-6066
Phone (317) 882-5122

Other practice location 1

217 S. Main St.
Lima, OH 45804-2230
Phone (812) 219-2315

Other names 1

  • Logan Pfeifer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240926003024 IN Practitioner - Clinical Social Worker 0446781736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Belt Arc, Inc.Group PAC ID 8820900111, 7 clinicians

Practice addresses (Care Compare)

550 S Adams St
Bloomington, IN 47403-2165
Phone (812) 333-6324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600211OHMDSocial Worker
34009278AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Center for Recovery, LLC Current Accepting new patients
Stone Belt Arc, Inc. Clinical CurrentSince Apr 7, 2025 Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

2815 E 10th St
Bloomington, IN 47408
Phone (812) 332-2168

550 S Adams St
Bloomington, IN 47403
Phone (812) 333-6324

8404 Siear Ter
Ste 100
Indianapolis, IN 46227
Phone (877) 882-5122

8320 Madison Ave
Indianapolis, IN 46227
Phone (317) 881-7061

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1861927428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276066",
            "telephone_number": "317-882-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276066",
            "telephone_number": "317-882-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 S. Main St.",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042230",
            "country_code": "US",
            "telephone_number": "812-219-2315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "LOGAN",
        "credential": "LCSW, MSW, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009278A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "PFEIFER",
            "credential": "LSW, MSW, CDCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.