LOGAN MICHAEL MCINTOSH (NPI# 1982113619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982113619 |
| Entity Type | Individual |
| Full Name | LOGAN MICHAEL MCINTOSH |
| Credential | LCSW |
| Practice Address |
791 Chambers Rd Aurora CO 80011-7112 |
| Mailing Address |
1290 Chambers Rd Aurora CO 80011-7117 |
| Practice Telephone | 3036172300 |
| Mailing Telephone | 3036172300 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 0009921493 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09926227 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1982113619 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1776 Jackson St, 802, Denver, CO 802103801 | 7205054051 |
| Street Address |
791 CHAMBERS RD |
| City | AURORA |
| State | CO |
| Zip Code | 80011-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997968 | Anne O. Garrett-mills | Psychiatry & Neurology | 791 Chambers Rd, Aurora, CO 80011-7112 | 2005-07-29 |
| 1588273049 | Kellee Bell | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2020-07-29 |
| 1427698984 | Jesse Quinn Weight | Counselor | 791 Chambers Rd, Aurora, CO 80011-7112 | 2020-01-13 |
| 1124664339 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-22 |
| 1780220996 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-22 |
| 1366087025 | Carolina Matus | Registered Nurse | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-16 |
| 1902449911 | Bianca Spencer-johnson | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-10-22 |
| 1508428087 | Joyce Ann Viswanathan Prakash | Licensed Practical Nurse | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-07-03 |
| 1609437813 | Caroline Victoria Hysaw | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-06-27 |
| 1225698947 | Gabryelle Samone Johnson | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1053927392 | Katherine Caldwell Mortimer | Social Worker | 4188 S Riviera St, Aurora, CO 80018-3141 | 2020-09-22 |
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| 1861004616 | Melissa Jean Bruce | Social Worker | 14730 E Grand Ave, Aurora, CO 80015-2235 | 2020-08-21 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1700406741 | Cheryl Gonska | Social Worker | 450 Echo Ln Apt D, Aurora, IL 60504-6128 | 2020-04-20 |
| 1861021768 | Personal Victory Counseling, Inc. | Social Worker | 3675 Darlene Ct Ste B, Aurora, IL 60504-6523 | 2020-04-03 |
| 1447889415 | Jamal Timothy Jackson | Social Worker | 4470 S Valdai Way, Aurora, CO 80015-5571 | 2020-04-02 |
| 1457988693 | Marissa J Happ | Social Worker | 412 N. Lake St., Aurora, IL 60506-4106 | 2020-03-26 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.