Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Fudge

Individual provider Mental Health Counselor · NPI 1841560638

Heather Fudge is a Clinical Social Worker in Eugene, Oregon. Qualified in 2018, 8 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2012
Specialties on file
3

Practice location Address checks out

438 Charnelton St Ste 101
Eugene, OR 97401-2760
Phone: (458) 331-0531
Fax: (541) 543-2525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1841560638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2012
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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