Julie Logan, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13460 Issued in MD

Practice address

21770 FDR Blvd
Lexington Park, MD 20653-1558

Phone

(301) 863-6661

Fax

(301) 866-9189

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pathways IncGroup PAC ID 8527160597, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pathways Inc

  • Adult Mental Health Clinic/Center
  • Hollywood, MD
  • NPI 1043229875
  Medicare reassignment Care Compare group
• Pathways Inc

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1487105979
  NPD (past)
• Pathways Inc

  • Community/Behavioral Health Agency
  • Hollywood, MD
  • NPI 1881707651
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1922340470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30007 BUSINESS CENTER DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223101",
            "telephone_number": "301-997-1300",
            "fax_number": "301-863-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21770 FDR BLVD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531558",
            "telephone_number": "301-863-6661",
            "fax_number": "301-866-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JULIE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rae Leghart, MAT, LAT, ATC ,BSAS
• Lexington Park MD Opco LLC
• Lexington Park MD Opco LLC
• Lexington Park Optometry, LLC
• Linda S Ball Counseling LCPC
• LP Lexington Park LLC
• Vicki Joan Majors, LCSW
• Joanne Mankowski, CLD
• Beko S Mantein, PHARMD.
• Katherine A Martin, DO

• Clinical Social Worker in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.

Verify at the official NPI Registry.