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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA LOGAN, MSW, LICSW

Active

AMANDA LOGAN, MSW, LICSW is a Clinical Social Worker healthcare provider located in FARGO, North Dakota. NPI 1609246677 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FARGO, ND

Registration Details

NPI Number
1609246677
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2015 (10.8244583283 yrs)
Last Updated
Nov 2, 2017
Licenses
16371 (MN)
4408 (ND)
4408 (ND)

Practice Information

Address
1202 WESTRAC DR S
SUITE 400
FARGO, ND, 581032338
Browse ND providers · Browse ZIP 58103
Phone
1072809545
Fax
7012809520
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FARGO, ND

Name Credential NPI
MRS. IRENE TERESA JOHNSON MSW, LCSW, LICSW 1295733319
MRS. MARIA LOUISE BALINTONA LICSW 1740270339
LINDA M THOMAS LICSW 1194786749
PETER ANTHONY EDWARDS LICSW 1659323251
COLEEN R MAY MSW 1346280435
DEONNE J VARRIANO LICSW 1053348573
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.