Jennifer Keely Logston in Downers Grove - Clinical
Jennifer Keely Logston - NPI 1841304094
Jennifer Keely Logston is a Clinical in Downers Grove, Illinois. Jennifer Keely Logston practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Keely Logston is 1841304094. The last update date is 2023-01-28.
Jennifer Keely Logston's current location address is 900 Ogden Ave # 112, Downers Grove, Illinois. You can contact this provider via phone number 6305288855 and fax number 6302414388. The mailing address for Jennifer Keely Logston is 900 Ogden Ave # 112, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Keely Logston |
|---|---|
| Address | 900 Ogden Ave # 112, Downers Grove, Illinois |
| Phone Number | 6305288855 |
| Fax Number | 6302414388 |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1841304094 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2023-01-28 |
Provider Mailing Address Detail
| Address | 900 Ogden Ave # 112 |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 605152829 |
| Phone Number | 6305288855 |
| Fax Number | 6302414388 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149008632 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2225381 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer Keely Logston by the Centers for Medicare & Medicaid Services?
The Jennifer Keely Logston has been issued the NPI (National Provider Identifier) 1841304094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Keely Logston's physical address?
The Jennifer Keely Logston is physically located at 900 Ogden Ave # 112, in the city of Downers Grove, IL, with the postal code 605152829.
What is the Jennifer Keely Logston's specialty and taxonomy code?
The Jennifer Keely Logston's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Jennifer Keely Logston receive its 1841304094 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Keely Logston was assigned its 1841304094 by the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date were the details related to Jennifer Keely Logston most recently updated or revised?
The information pertaining to Jennifer Keely Logston, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-28.