Individual provider Active NPI

Zara Ariana Walker Logan

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1922797984
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015223 Issued in VA
Practice address
7489 Right Flank Rd Ste 330
Mechanicsville, VA 23116-3845
Phone
(804) 398-8401
NPI assigned
May 4, 2023
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015223 VA Primary

Addresses

Primary practice location

7489 Right Flank Rd Ste 330
Mechanicsville, VA 23116-3845

Mailing address

7489 Right Flank Rd Ste 330
Mechanicsville, VA 23116-3845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230613002812 VA Practitioner - Clinical Social Worker 3577920156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow With Grace Therapy Services LLC Current Accepting new patients
Old Towne Counseling Services, LLC CurrentSince May 12, 2023 Accepting new patients

Locations

7489 Right Flank Rd
Ste 330
Mechanicsvlle, VA 23116

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1922797984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7489 RIGHT FLANK RD STE 330",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 RIGHT FLANK RD STE 330",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163845",
            "telephone_number": "804-398-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER LOGAN",
        "first_name": "ZARA",
        "middle_name": "ARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.