Individual provider Active NPI

Christopher Alan Logan-Bennett, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1962178186
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10488 Issued in MD
Practice address
609 Regester Ave
Baltimore, MD 21212-1916
Phone
(410) 440-9336
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 10488 MD Primary

Addresses

Primary practice location

609 Regester Ave
Baltimore, MD 21212-1916

Mailing address

609 Regester Ave
Baltimore, MD 21212-1916
Phone (410) 440-9336

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211029000110 MD Practitioner - Clinical Social Worker 7517355282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Perspectives LLCGroup PAC ID 3870898109, 22 clinicians

Practice addresses (Care Compare)

1447 York Rd
Suite 802
Lutherville, MD 21093-6017
Phone 4108233344150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10488MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives LLC Clinical CurrentSince Oct 7, 2021 Accepting new patients
Cynthia Voelz Clinical PastSince Oct 7, 2021 Accepting new patients

Locations

1447 York Rd
Ste 802
Lutherville, MD 21093
Phone (410) 356-3344

6 Park Center Ct
Ste 103
Owings Mills, MD 21117
Phone (410) 356-3344

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1962178186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 REGESTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121916",
            "telephone_number": "410-440-9336",
            "fax_number": "410-440-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 REGESTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121916",
            "telephone_number": "410-440-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN-BENNETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.