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

Logan Stanley Fraker, MSW, MBA, CADC

Individual provider Social Worker · NPI 1477212538

Logan Stanley Fraker, MSW, MBA, CADC is a Clinical Social Worker in Aurora, Colorado. Qualified in 2021, 5 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
MBA — Master of Business Administration
A graduate business degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

1504 Galena St
Aurora, CO 80010-2219
Phone: (303) 617-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1477212538
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , MBA , CADC
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 16, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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