| Wendy Logsdon Lcsw Pllc | |
|
2806 W Greenbrier Benton AR 72015-2678 | |
| (501) 920-5945 | |
| Not Available |
| Full Name | Wendy Logsdon Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2806 W Greenbrier, Benton, Arkansas |
| Authorized Official Name and Position | Wendy Logsdon (OWNER) |
| Authorized Official Contact | 5019205945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Logsdon Lcsw Pllc Po Box 1896 Benton AR 72018-1896 Ph: (501) 920-5945 | Wendy Logsdon Lcsw Pllc 2806 W Greenbrier Benton AR 72015-2678 Ph: (501) 920-5945 |
| NPI Number | 1851055172 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 1759771819 |
|---|---|
| Medicare Enrollment ID | O20211203000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851055172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wendy A Logsdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043592082 PECOS PAC ID: 4082838149 Enrollment ID: I20140610001969 |
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