Provider Demographics
NPI:1144012519
Name:LOGAN, JAMES J (MSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:LOGAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92A NIPMUC TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-7756
Mailing Address - Country:US
Mailing Address - Phone:401-533-0260
Mailing Address - Fax:401-533-0260
Practice Address - Street 1:2797 POST RD FL 2
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3001
Practice Address - Country:US
Practice Address - Phone:401-300-4828
Practice Address - Fax:401-679-9289
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical