Logan Stanley Fraker, MSW, MBA, CADC
NPI 1477212538ActiveIndividual· Social Worker· Aurora, CO
Social Worker (MSW, MBA, CADC) with Intermountain Medical Group Denver LLC, practicing in Aurora, Colorado. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1477212538 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, MBA, CADC |
| Sole proprietor | No |
| NPI issued | Dec 15, 2021 |
| Last updated in NPPES | Dec 20, 2021 |
| Certified by provider | Dec 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CO) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Intermountain Medical Group Denver LLCBroomfield, CO · 568 clinicians
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