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

Lynette Logan

Individual provider Social Worker · NPI 1164977708

Lynette Logan is a Clinical Social Worker in Raynham, Massachusetts. Qualified in 2016, 10 years ago. Practices with Spectrum Neuro Behavioral Care LLC, a 59-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Massachusetts.

Years since qualifying
10
Licensed in
IN, MA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

100 New State Hwy
Raynham, MA 02767-5423
Phone: (781) 666-2711
Fax: (781) 666-2712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 480 Eversman Dr, Jasper, IN 47546-3548 — (812) 482-3020
  • 61 Lincoln St Ste 203, Framingham, MA 01702-8264 — (781) 666-2711
  • 67 Union St Ste 106, Natick, MA 01760-7700 — (781) 666-2711

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 228608 (MA)
Social Worker Taxonomy 104100000X · Licence 99074547A (IN)

Record details

NPI number1164977708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2016
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing addressPo Box 769, Jasper, IN 47547-0769

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Spectrum Neuro Behavioral Care Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Raynham