Provider Demographics
NPI:1043761547
Name:NAVIDOMSKIS LOGSDON, MSW, ANN-MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:NAVIDOMSKIS LOGSDON, MSW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ANN-MARIE
Other - Middle Name:NAVIDOMSKIS
Other - Last Name:LOGSDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:9057 E MISSISSIPPI AVE
Mailing Address - Street 2:APT. # 1-206
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2078
Mailing Address - Country:US
Mailing Address - Phone:407-739-5623
Mailing Address - Fax:
Practice Address - Street 1:9057 E MISSISSIPPI AVE
Practice Address - Street 2:APT. # 1-206
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2078
Practice Address - Country:US
Practice Address - Phone:407-739-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical