Active NPIIndividual provider

Lynette Logan

Social Worker, Clinical in Raynham, Massachusetts

NPI Number1164977708
Practice location
100 New State Hwy, Raynham, MA 02767-5423
Fax
781-666-2712
Last updated
March 15, 2024

Lynette Logan is a Social Worker, Clinical based in Raynham, MA. Lynette Logan practices in Raynham, MA. The NPI Number for Lynette Logan is 1164977708 and holds a License No. 99074547A (IN). The current practice location address for Lynette Logan is 100 New State Hwy, Raynham, MA 02767-5423 and can be reached out via phone at 781-666-2711 and via fax at 781-666-2712.

Provider Profile Details

NPI Number
1164977708
Provider Name
Lynette Logan
Provider Entity Type
Individual
Gender
Female
Address
100 New State Hwy, Raynham, MA 02767-5423
Phone Number
781-666-2711
Fax Number
781-666-2712
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Lynette D Logan, LCSW (Professional Name)
Provider Enumeration Date
August 24, 2016
Last Update Date
March 15, 2024
Certification Date
March 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 New State Hwy
Raynham, MA 02767-5423
Zip
02767-5423
Phone Number
781-666-2711
Fax Number
781-666-2712
Raynham, MA 02767Get directions →

Provider Business Mailing Address Details

Address
Po Box 769
Jasper, IN 47547-0769
City
Jasper
State
IN
Zip
47547-0769
Phone Number
812-482-3020
Fax Number
812-482-6409

License Information

License Number (1)
99074547A
License State (1)
IN
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
228608
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Raynham, MA

View all Social Worker, Clinical providers in Raynham →

Frequently Asked Questions

What is the NPI number of Lynette Logan?

The NPI number of Lynette Logan is 1164977708. It was assigned on August 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Lynette Logan?

Lynette Logan is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in IN under license number 99074547A.

Where does Lynette Logan practice?

The practice location is 100 New State Hwy, Raynham, MA 02767-5423. The office can be reached at 781-666-2711 (phone) or 781-666-2712 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164977708 directly on the NPPES registry website.

Browse related providers