Individual provider · Type 1 NPI

Alexis Logan

Clinical Social Worker · Vienna, VA

NPI number 1548953201 Active

Practice location

8133 Leesburg Pike Ste 130
Vienna, VA 22182-2706

Mailing address

7709 Martel Pl
Springfield, VA 22152-1946

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904019709 (VA)

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 1548953201

Alexis Logan's National Provider Identifier is 1548953201, issued on May 30, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, VA. The record was last updated on Dec 29, 2025.