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

Lisa Logan, LCSW

Individual provider Clinical Social Worker · NPI 1568732444

Lisa Logan, LCSW is a Clinical Social Worker in Patton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3102 E Highland Avenue Medical Staff Ofc
Patton, CA 92369
Phone: (909) 425-7000
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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 23593 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1568732444
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 9, 2012
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing addressPo Box 3361, San Dimas, CA 91773-7361

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