Logan Paige Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34928 Issued in TX

Practice address

14130 Hillcrest Rd
Dallas, TX 75254-8623

Phone

(972) 980-4452

NPI assigned

Sep 25, 2009

Last updated

Jan 24, 2022By 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 names 1

• Miss Logan Paige Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1912231739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752403532",
            "telephone_number": "214-629-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14130 HILLCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548623",
            "telephone_number": "972-980-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LOGAN",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "ROBERTS",
            "middle_name": "PAIGE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle J Roberts, M.D.
• Lakeita Roberts, MS, LPC
• Laura M. Roberts, PH.D.
• Laurence Clayton Roberts, MD
• Leslee M. Roberts, NNP
• Lonnie Perry Roberts III
• Lynne Jeanine Roberts, M.D.
• Mary K. Roberts, ACNP
• Matthew Roberts, MD
• Megan Roberts

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.