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

Davis Logan, SWLC, MSW

Individual provider Clinical Social Worker · NPI 1275297939

Davis Logan, SWLC, MSW is a Clinical Social Worker in Missoula, Montana. Qualified in 2020, 6 years ago. Practices with Missoula Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
6
Licensed in
MT
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

14 Charis Ln
Missoula, MT 59802-3516
Phone: (313) 802-1073
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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 44181 (MT)

Record details

NPI number1275297939
Entity typeIndividual (Type 1)
GenderMale
Credentials SWLC , MSW
Sole proprietorYes
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Missoula Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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