Provider Demographics
NPI:1154040715
Name:RIEDLINGER, LEAH FISCHER (LCSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:FISCHER
Last Name:RIEDLINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 WILLAMETTE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2694
Mailing Address - Country:US
Mailing Address - Phone:541-357-9638
Mailing Address - Fax:
Practice Address - Street 1:541 WILLAMETTE ST STE 203
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2694
Practice Address - Country:US
Practice Address - Phone:541-357-9638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL113031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical