Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Logan, MSW, LICSW

Individual provider Social Worker · NPI 1609246677

Amanda Logan, MSW, LICSW is a Social Worker in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2015.

Licensed in
MN, ND
In the registry since
2015
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2338
Phone: (107) 280-9545
Fax: (701) 280-9520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4408 (ND)
Social Worker Taxonomy 104100000X · Licence 16371 (MN)
Social Worker Taxonomy 104100000X · Licence 4408 (ND)

Record details

NPI number1609246677
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESNovember 2, 2017
Mailing address1202 Westrac Dr S, Suite 400, Fargo, ND 58103-2338

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