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

Individual provider Clinical Social Worker · NPI 1972030823

Logan Tate Sutherland, LSW, MSW is a Clinical Social Worker in Worthington, Ohio. Qualified in 2017, 9 years ago. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone: (614) 436-7837
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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 I.1901967-SUPV (OH)

Record details

NPI number1972030823
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW , MSW
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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