Provider Demographics
NPI:1316691421
Name:LOGAN, KARAH (LICSW)
Entity type:Individual
Prefix:
First Name:KARAH
Middle Name:
Last Name:LOGAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CONCORD WAY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4341
Mailing Address - Country:US
Mailing Address - Phone:603-275-4681
Mailing Address - Fax:
Practice Address - Street 1:9 CONCORD WAY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4341
Practice Address - Country:US
Practice Address - Phone:603-275-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC249631041C0700X
MALICSW11420801041C0700X
NH57931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical