Individual provider · Type 1 NPI

Kate O. Logan, LICSW

Clinical Social Worker · Southbridge, MA

NPI number 1447500723 Active

Practice location

176 Main St
Southbridge, MA 01550-2561

Mailing address

31 Cornfield Pt
Woodstock, CT 06281-3003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X9196 (CT)

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 1447500723

Kate O. Logan, LICSW's National Provider Identifier is 1447500723, issued on Sep 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southbridge, MA. The record was last updated on Feb 4, 2019.