Active NPI
Christopher E Loglia, LCSW, CASAC
- Clinical Social Worker
- Port Jefferson Station, NY
National Provider Identifier
1982299897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095457-01
- Practice address
- 23 Dewey St
Port Jefferson Station, NY 11776-1421 - Phone
- (631) 942-7121
- NPI assigned
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34488 | NY | |
| School Social Worker | 1041S0200X | 1265042181 | NY | |
| Clinical Social Worker | 1041C0700X | 095457-01 | NY | Primary |
Addresses
Primary practice location
23 Dewey St
Port Jefferson Station, NY 11776-1421
Mailing address
23 Dewey St
Port Jefferson Station, NY 11776-1421
Phone (631) 942-7121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095457-01 | NY | MD | Clinical Social Worker |
| 1265042181 | NY | MD | School Social Worker |
| 34488 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1982299897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 DEWEY ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761421",
"telephone_number": "631-942-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 DEWEY ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761421",
"telephone_number": "631-942-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGLIA",
"first_name": "CHRISTOPHER",
"middle_name": "E",
"credential": "LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-02",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "34488",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "1265042181",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095457-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
- Richard Steven Litman, M.D.
- Sabrina Livoti, PA-C
- Regina Lleras, M.S. CCC-SLP TSSLD
- Brittany Llobell, COTA/L
- Jessica Loftus, LMHC
- Debra Lograno Dazzo, LCSW
- Long Island Digestive Endoscopy Center, LLC
- Long Island Oral and Maxillofacial Surgery Associates LLP
- Long Island Select Healthcare, Inc. (LISH, Inc.)
- Sarah Corliss Wheeler Long, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.