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

Logan Michele Jacobson

Individual provider Social Worker · NPI 1497089247

Logan Michele Jacobson is a Social Worker in Glendale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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Practice location Address checks out

67-29 Myrtle Ave Glendale Mental Health Clinic
Glendale, NY 11385
Phone: (631) 404-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (NY)

Record details

NPI number1497089247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 28, 2009
Last updated in NPPESJuly 21, 2022

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