Active NPIIndividual providerSole proprietor

Mrs. Mary G Brogdon, LCSW

Social Worker, Clinical in Eugene, Oregon

NPI Number1528414026
Practice location
1907 Garden Ave, Suite 100, Eugene, OR 97403-1962
Fax
—
Last updated
September 15, 2024

Mary Grace Brogdon is a Social Worker, Clinical based in Eugene, OR. Mary Grace Brogdon practices in Eugene, OR and has the professional credentials of LCSW. The NPI Number for Mary Grace Brogdon is 1528414026 and holds a License No. 4764 (OR). The current practice location address for Mary Grace Brogdon is 1907 Garden Ave, Suite 100, Eugene, OR 97403-1962 and can be reached out via phone at 541-870-3142.

Provider Profile Details

NPI Number
1528414026
Provider Name
Mary Grace Brogdon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1907 Garden Ave, Suite 100, Eugene, OR 97403-1962
Phone Number
541-870-3142
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 13, 2016
Last Update Date
September 15, 2024
Certification Date
September 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1907 Garden Ave
Suite 100
Eugene, OR 97403-1962
City
Eugene
State
Oregon
Zip
97403-1962
Phone Number
541-870-3142
Eugene, OR 97403Get directions →

Provider Business Mailing Address Details

Address
1907 Garden Ave
Suite 100
Eugene, OR 97403-1962
City
Eugene
State
OR
Zip
97403-1962
Phone Number
541-870-3142

License Information

License Number
4764
License State
OR
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mary G Brogdon, LCSW?

The NPI number of Mrs. Mary G Brogdon, LCSW is 1528414026. It was assigned on May 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary G Brogdon, LCSW?

Mrs. Mary G Brogdon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number 4764.

Where does Mrs. Mary G Brogdon, LCSW practice?

The practice location is 1907 Garden Ave, Suite 100, Eugene, OR 97403-1962. The office can be reached at 541-870-3142 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528414026 directly on the NPPES registry website.

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