Provider Demographics
NPI:1528167400
Name:LAUGHLIN, LANSING ATWOOD (LCSW)
Entity type:Individual
Prefix:MR
First Name:LANSING
Middle Name:ATWOOD
Last Name:LAUGHLIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94832 KELSO LN
Mailing Address - Street 2:
Mailing Address - City:MARCOLA
Mailing Address - State:OR
Mailing Address - Zip Code:97454-9712
Mailing Address - Country:US
Mailing Address - Phone:541-933-1453
Mailing Address - Fax:
Practice Address - Street 1:100 RIVER AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2507
Practice Address - Country:US
Practice Address - Phone:541-607-7510
Practice Address - Fax:541-607-7581
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL1787104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker