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HEATHER FUDGE LLC
NPI 1205592516
Social Worker - Clinical in Eugene, OR

Active since November 10, 2021
438 CHARNELTON ST STE 101, EUGENE, OR 97401(458) 331-0531(541) 543-2525 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2023, Nov 10, 2021 (2 updates tracked since 2021).

About Heather Fudge Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER FUDGE LLC (NPI 1205592516) is a healthcare organization registered as a clinical in Eugene, Oregon and active in the NPI registry since November 2021. The organization lists Heather Fudge, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1205592516
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHEATHER FUDGE LLC
Location Address438 CHARNELTON ST STE 101Eugene, OR 97401-2760
Mailing AddressPo Box 11103Eugene, OR 97440-3303 · (458) 331-0531
Phone(458) 331-0531
Fax(541) 543-2525
Organization SubpartNo
Authorized OfficialHeather FudgeOwner, Provider · (458) 331-0531
Enumeration DateNovember 10, 2021
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1205592516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
438 CHARNELTON ST STE 101, Eugene, OR 97401
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Other Identifiers 1

Medicaid500660658OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER FUDGE
Social Worker (Clinical)
438 CHARNELTON ST STE 101
EUGENE, OR 97401
Lane County (458) 331-0531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Fudge LLC's NPI number?

The NPI number for Heather Fudge LLC is 1205592516. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Heather Fudge LLC located?

Heather Fudge LLC is located at 438 Charnelton St Ste 101, Eugene, OR 97401. The listed phone number is (458) 331-0531.

What is Heather Fudge LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Heather Fudge LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Heather Fudge LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Fudge LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.