Healthcare Provider Details

I. General information

NPI: 1750408282
Provider Name (Legal Business Name): SUSAN ELISE REMMERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 COUNTRY CLUB RD STE B
EUGENE OR
97401-2479
US

IV. Provider business mailing address

1574 COBURG RD
EUGENE OR
97401-4802
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-7200
  • Fax: 844-364-4271
Mailing address:
  • Phone: 541-343-7200
  • Fax: 844-364-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL3244
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3244
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: