Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LOGAN THOMAS PARK
NPI 1811893399
Social Worker - Clinical in Jefferson City, MO

Q: What is Logan Park's NPI number?

The NPI number for Logan Park is 1811893399. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Q: What is Logan Park'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 Logan Park was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 October 20, 2026

1006 FAIRMOUNT BLVD, JEFFERSON CITY, MO 65101(573) 823-7532 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Logan Thomas Park NPPES

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

LOGAN THOMAS PARK (NPI 1811893399) is an individual clinical provider in Jefferson City, Missouri, licensed in Missouri (2023036481) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1811893399

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameLOGAN THOMAS PARK

Location Address1006 FAIRMOUNT BLVDJefferson City, MO 65101-3547

Mailing Address1006 Fairmount BlvdJefferson City, MO 65101-3547 · (573) 823-7532

Phone(573) 823-7532

Sole ProprietorYes

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1811893399 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 MO · 2023036481

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.

1006 FAIRMOUNT BLVD, Jefferson City, MO 65101

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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 Park's NPI number?

The NPI number for Logan Park is 1811893399. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Where is Logan Park located?

Logan Park practices at 1006 Fairmount Blvd, Jefferson City, MO 65101. The listed phone number is (573) 823-7532.

What is Logan Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Logan Park was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.