SHEA LOGAN LCSW
NPI 1598821050
Social Worker - Clinical in Elmhurst, NY

Q: What is Shea Logan's NPI number?

The NPI number for Shea Logan is 1598821050. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Shea Logan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shea Logan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 29, 2006

80TH ST & 41ST AVE, ELMHURST, NY 11373(718) 334-5970(718) 334-5958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shea Logan Lcsw NPPES

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

SHEA LOGAN LCSW (NPI 1598821050) is an individual clinical provider in Elmhurst, New York, licensed in New York (P49924) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1598821050

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHEA LOGANCredential: LCSW

Location Address80TH ST & 41ST AVEElmhurst, NY 11373

Mailing Address7901 Broadway, Managed Care D1-04Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432

Phone(718) 334-5970

Fax(718) 334-5958

Sole ProprietorNo

Enumeration DateDecember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1598821050 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 NY · P49924

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.

80TH ST & 41ST AVE, Elmhurst, NY 11373

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified0033S128NY

Medicaid00246075NY

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.

CARLOTA GABRIEL ANTONIO NP

Nurse Practitioner (Primary Care)