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MR. RYAN LOGAN LMSW
NPI 1235495466
Social Worker in Setauket, NY

Active since April 02, 2012PECOS Enrolled
23 TAVERN WAY, SETAUKET, NY 11733(631) 678-8816 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Ryan Logan Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN LOGAN LMSW (NPI 1235495466) is an individual social worker in Setauket, New York, licensed in New York (085124-1) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235495466
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. RYAN LOGANCredential: LMSW
Location Address23 TAVERN WAYSetauket, NY 11733-2856
Mailing Address23 Tavern WaySetauket, NY 11733-2856 · (631) 678-8816
Phone(631) 678-8816
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 2, 2012
✔ NPI 1235495466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 085124-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
23 TAVERN WAY, Setauket, NY 11733
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ryan Logan Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123460177
PECOS Enrollment IDI20240522003704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Logan's NPI number?

The NPI number for Ryan Logan is 1235495466. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Ryan Logan located?

Ryan Logan practices at 23 Tavern Way, Setauket, NY 11733. The listed phone number is (631) 678-8816.

What is Ryan Logan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Ryan Logan enrolled in Medicare?

Yes. Ryan Logan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Logan was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.