Healthcare Provider Details

I. General information

NPI: 1275762601
Provider Name (Legal Business Name): CYNTHIA SUE LEMING MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E 7TH AVE
EUGENE OR
97401-2773
US

IV. Provider business mailing address

1020 RIVER LOOP 1
EUGENE OR
97404-1446
US

V. Phone/Fax

Practice location:
  • Phone: 541-520-2725
  • Fax:
Mailing address:
  • Phone: 541-343-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierL 4672
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerOREGON STATE BOARD OF LICENSED SOCIAL WORKERS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: