Active NPI
Logan Pfeifer, LCSW, MSW, CDCA
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009278A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600211 | OH | MD | Social Worker |
| 34009278A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Center for Recovery, LLC | Current | Accepting new patients | |
| Stone Belt Arc, Inc. | Clinical | Current | Accepting new patients |
| Adult and Child Mental Health Center Inc | Current | Accepting new patients | |
| Adult and Child Mental Health Center Inc | Current | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Bloomington, IN
- NPI 1730240888
Clinical
-
- Community/Behavioral Health Agency
- Indianapolis, IN
- NPI 1154368512
-
- Community/Behavioral Health Agency
- Indianapolis, IN
- NPI 1083432272
-
- Psychiatric Residential Treatment Facility
- Bloomington, IN
- NPI 1295276160
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.