Vivian Delephine Logan, LMSW is a
Social Worker based in Buffalo, New York. Vivian Delephine Logan is licensed to practice in New York (license number 051142-1) and her current practice location is
3020 Bailey Ave, Buffalo, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 833-3622.
NPI number for Vivian Delephine Logan is 1265944425 and her current mailing address is 55 Dodge Rd, Getzville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265944425.
Healthcare Provider's Profile
| Full Name | Vivian Delephine Logan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
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| Location | 3020 Bailey Ave, Buffalo, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265944425
- Provider Enumeration Date: 10/27/2017
- Last Update Date: 08/17/2021
Medical Identifiers
Medical identifiers for Vivian Delephine Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265944425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 051142-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Delephine Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vivian Delephine Logan, LMSW
55 Dodge Rd,
Getzville, NY 14068-1205
Ph: (716) 831-2700 | Vivian Delephine Logan, LMSW
3020 Bailey Ave,
Buffalo, NY 14215-2814
Ph: (716) 833-3622 |
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