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

Individual provider Mental Health Counselor · NPI 1891102562

Lacey Faughender, LCSW is a Clinical Social Worker in Salem, Oregon. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

161 High St SE Ste 202
Salem, OR 97301-3610
Phone: (503) 902-5930
Fax: (503) 917-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L7417 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence L7417 (OR)

Record details

NPI number1891102562
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 15, 2014
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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