IndividualActive
Mary Tyler, LCSW
NPI 1003175118 · Clinical Social Worker · Eugene, OR
Provider details
- NPI number
- 1003175118
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3808-LCSW (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1788 Cal Young Rd
#185
Eugene, OR 97401-7638
Phone: (808) 284-6053
Approximate (ZIP-level) locationGet directions
Mailing address
1788 Cal Young Rd
Eugene, OR 97401-7638
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2012-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.