Logan George Bleazard, LCSW - Clinical Social Worker in Washington, UT

Logan George Bleazard, LCSW is a Social Worker - Clinical based in Washington, Utah. Logan George Bleazard is licensed to practice in Utah (license number 9422103-3501) and his current practice location is 85 N 300 W Ste A, Washington, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 414-8658.

NPI number for Logan George Bleazard is 1306108493 and his current mailing address is 85 N 300 W Ste A, Washington, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306108493.

Contact Information

Logan George Bleazard, LCSW
85 N 300 W Ste A,
Washington, UT 84780-3563
(435) 414-8658
(435) 359-5247



Healthcare Provider's Profile

Full NameLogan George Bleazard
GenderMale
SpecialitySocial Worker - Clinical
Location85 N 300 W Ste A, Washington, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306108493
  • Provider Enumeration Date: 06/13/2012
  • Last Update Date: 08/02/2022

Medical Identifiers

Medical identifiers for Logan George Bleazard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306108493NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9422103-3501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Logan George Bleazard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Logan George Bleazard, LCSW
85 N 300 W Ste A,
Washington, UT 84780-3563

Ph: (435) 414-8658
Logan George Bleazard, LCSW
85 N 300 W Ste A,
Washington, UT 84780-3563

Ph: (435) 414-8658

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Social Worker in Washington, UT

Stuart Porter Squires, LCSW
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Phone: 435-313-1712    Fax: 866-351-4226
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Phone: 801-550-0924    
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