Individual provider · Type 1 NPI

Shea Logan, LCSW

Clinical Social Worker · Elmhurst, NY

NPI number 1598821050 Active

Practice location

80th St & 41st Ave
Elmhurst, NY 11373

Call (718) 334-5970 Map

Fax (718) 334-5958

Mailing address

7901 Broadway, Managed Care D1-04
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP49924 (NY)

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 1598821050

Shea Logan, LCSW's National Provider Identifier is 1598821050, issued on Dec 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 8, 2007.