Individual provider · Type 1 NPI
Lonny Louise Mayeda, LCSW
Clinical Social Worker · Medford, OR
Practice location
140 South Holly Stteet
Medford, OR 97501
Fax (541) 774-7964
Mailing address
140 South Holly Street
Medford, OR 97501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1970 (OR) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1154625150
Lonny Louise Mayeda, LCSW's National Provider Identifier is 1154625150, issued on Jan 5, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Dec 22, 2014.