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LOGAN WALLACE LCSW
NPI 1235979485
Social Worker - Clinical in Scottsdale, AZ

Active since May 27, 2024PECOS Enrolled
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Wallace Lcsw NPPES

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

LOGAN WALLACE LCSW (NPI 1235979485) is an individual clinical provider in Scottsdale, Arizona, licensed in Arizona (LCSW-21536) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235979485
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLOGAN WALLACECredential: LCSW
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499
Phone(480) 301-8000
Sole ProprietorNo
Enumeration DateMay 27, 2024
Last NPPES UpdateOctober 20, 2024
NPPES CertifiedOctober 20, 2024
✔ NPI 1235979485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-21536
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13400 E SHEA BLVD, Scottsdale, AZ 85259
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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)

Logan Wallace Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMITKUMAR MEHTA MD
Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DEBJIT SAHA MBBS
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
MICHAL REID M.D.
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DANIEL MARK FRENDL MD, PHD
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
BRETT THEODORE TOLPA CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
GINA MUNSON CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. CATALINA NICOLE FLORES MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
NICOLE WARRINGTON MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000

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 Logan Wallace's NPI number?

The NPI number for Logan Wallace is 1235979485. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Where is Logan Wallace located?

Logan Wallace practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Logan Wallace's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Logan Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Logan Wallace was last updated on October 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.