Individual provider · Type 1 NPI

Logan Lewis, LMSW, LMFT

Clinical Social Worker · Syracuse, NY

NPI number 1790256279 Active

Practice location

1045 James St Ste 100
Syracuse, NY 13203-2758

Call (315) 472-4471 Map

Fax (315) 472-1759

Mailing address

357 Valley Rd
Pulaski, NY 13142-2165

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X105136-1 (NY)
Marriage & Family Therapist 106H00000X001662 (NY)
Clinical Social Worker Primary 1041C0700X096156 (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 1790256279

Logan Lewis, LMSW, LMFT's National Provider Identifier is 1790256279, issued on Dec 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Nov 28, 2023.