IndividualActive
Logan Wallace, LCSW
NPI 1235979485 · Clinical Social Worker · Scottsdale, AZ
Logan Wallace, LCSW is a Clinical Social Worker provider in Scottsdale, AZ (NPI 1235979485).
Provider details
- NPI number
- 1235979485
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW-21536 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
Street-level locationGet directions
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Registry dates
- Enumerated
- 2024-05-27
- Last updated
- 2024-10-20
- Certified
- 2024-10-20
Frequently asked questions
- What is Logan Wallace's NPI number?
- Logan Wallace's National Provider Identifier (NPI) is 1235979485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Wallace's specialty?
- Logan Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Logan Wallace located?
- Logan Wallace's practice location on file with NPPES is 13400 E Shea Blvd, Scottsdale, AZ 85259-5499.
- What is Logan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Logan Wallace is (480) 301-8000.
- Is Logan Wallace's NPI active?
- Yes — Logan Wallace's NPI (1235979485) is active in the NPPES registry as of the last update on 2024-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.