Individual provider · Type 1 NPI

Jessica Logan, LCSW

Clinical Social Worker · Waianae, HI

NPI number 1356628689 Active

Practice location

89-195 Farrington Hwy
Waianae, HI 96792-4102

Mailing address

1019A 8th Ave
Honolulu, HI 96816-2490

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X1950 (HI)
Clinical Social Worker Primary 1041C0700X3903 (HI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1356628689

Jessica Logan, LCSW's National Provider Identifier is 1356628689, issued on Nov 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waianae, HI. The record was last updated on Apr 28, 2014.