Individual provider · Type 1 NPI

Amanda Logan, MSW, LICSW

Clinical Social Worker · Fargo, ND

NPI number 1609246677 Active

Practice location

1202 Westrac Dr S, Suite 400
Fargo, ND 58103-2338

Call (107) 280-9545 Map

Fax (701) 280-9520

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X16371 (MN)
Social Worker 104100000X4408 (ND)
Clinical Social Worker Primary 1041C0700X4408 (ND)

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 1609246677

Amanda Logan, MSW, LICSW's National Provider Identifier is 1609246677, issued on Oct 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fargo, ND. The record was last updated on Nov 2, 2017.