Tiffany L Logan, MSW, LCSW
Social Worker, Clinical in Pennsauken, New Jersey
1699165373- Practice location
- 3714 Terrace Ave, Pennsauken, NJ 08110-6440
- Phone
- 856-287-3807
- Fax
- —
- Last updated
- June 15, 2022
Tiffany L Logan is a Social Worker, Clinical based in Pennsauken, NJ. Tiffany L Logan practices in Pennsauken, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Tiffany L Logan is 1699165373 and holds a License No. 44SC055532300 (NJ). The current practice location address for Tiffany L Logan is 3714 Terrace Ave, Pennsauken, NJ 08110-6440 and can be reached out via phone at 856-287-3807.
Provider Profile Details
- NPI Number
- 1699165373
- Provider Name
- Tiffany L Logan
- Credential
- MSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3714 Terrace Ave, Pennsauken, NJ 08110-6440
- Phone Number
- 856-287-3807
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 2, 2015
- Last Update Date
- June 15, 2022
- Certification Date
- June 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3714 Terrace Ave
Pennsauken, NJ 08110-6440 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08110-6440
- Phone Number
- 856-287-3807
Provider Business Mailing Address Details
- Address
- 3714 Terrace Ave
Pennsauken, NJ 08110-6440 - City
- Pennsauken
- State
- NJ
- Zip
- 08110-6440
- Phone Number
- 856-840-5501
License Information
- License Number
- 44SC055532300
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tiffany L Logan, MSW, LCSW?
The NPI number of Tiffany L Logan, MSW, LCSW is 1699165373. It was assigned on February 2, 2015 and is currently active in the NPPES registry.
What is the specialty of Tiffany L Logan, MSW, LCSW?
Tiffany L Logan, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC055532300.
Where does Tiffany L Logan, MSW, LCSW practice?
The practice location is 3714 Terrace Ave, Pennsauken, NJ 08110-6440. The office can be reached at 856-287-3807 (phone).
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 1699165373 directly on the NPPES registry website.