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Active NPI 1306108493 Individual Practitioner Male Practitioner

Logan George Bleazard , LCSW

Social Worker - Clinical • Washington, UT

Professional Overview & Biography Verified Profile Summary

Logan Bleazard, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Washington, UT. Practice services are available at 85 N 300 W STE A under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

85 N 300 W Ste A

Washington, UT 847803563

Telephone 4354148658
Fax 4353595247
Associated Practice Facility / Clinic
🏢 Breakthrough Therapy Facility NPI 1982299053

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Washington, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Washington, UT (5603 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
30 12 $208.00 $103.99

Medical Specialties & State Licenses

CMS Verified: 2022-08-02
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 9422103-3501

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Practice Locations

230 N 1680 E Ste T2

Saint George, UT 847902573

Phone: 4357059906

320 E 600 S

Saint George, UT 84770

Phone: 4356884850

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Lennon Jones , MFT

Marriage & Family Therapist

NPI 1134975808

Marriage and Family Therapist

Logan Winder , IMFT

Marriage & Family Therapist

NPI 1477135747
Jessica Buckholz

Counselor - Mental Health

NPI 1609441450
NPI 1891121810

Licensed Clinical Social Worker

Benjamin Andresen , LCSW

Social Worker - Clinical

NPI 1912442476

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 02, 2022

Registered at 85 N 300 W STE A, WASHINGTON, UT 847803563 (Tel: 4354148658)

📍
Updated Business Mailing Address August 02, 2022

Registered at 85 N 300 W STE A, WASHINGTON, UT 847803563 (Tel: 4354148658)

📍
Updated Practice Location March 08, 2021

Registered at 230 N 1680 E STE T2, SAINT GEORGE, UT 847902573 (Tel: 4357059906)

📍
Updated Business Mailing Address March 08, 2021

Registered at 230 N 1680 E STE T2, SAINT GEORGE, UT 847902573 (Tel: 4357059906)

📍
Updated Practice Location August 29, 2018

Registered at 320 E 600 S, SAINT GEORGE, UT 84770 (Tel: 4356884850)

📍
Updated Business Mailing Address August 29, 2018

Registered at 3680 MULBERRY DR, SAINT GEORGE, UT 847907535 (Tel: 4357059906)

👤
Provider Name / Credentials Updated August 29, 2018

Recorded as LOGAN BLEAZARD, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Social Worker (License #9422103-3501 in UT)

NPI Profile Active June 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2012

Registered at 474 W 200 N, SAINT GEORGE, UT 847704505 (Tel: 4356345660)

📍
Updated Business Mailing Address June 13, 2012

Registered at 1211 W 540 N, APARTMENT A-1, SAINT GEORGE, UT 847704338 (Tel: 4357059906)

👤
Provider Name / Credentials Updated June 13, 2012

Recorded as LOGAN BLEAZARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2012

Technician, Other

🟢
Initial NPI Registration & Enumeration June 13, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306108493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2012
Last Update: August 02, 2022
Sole Proprietor: No

Mailing Address

85 N 300 W Ste A

Washington, UT 847803563

Phone: 4354148658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.