Provider Demographics
NPI:1558535914
Name:HIGGINS, BECKY A (LCSW)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:A
Last Name:HIGGINS
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 1:1193 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3521
Mailing Address - Country:US
Mailing Address - Phone:541-343-1937
Mailing Address - Fax:541-343-5875
Practice Address - Street 1:1193 PEARL ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3521
Practice Address - Country:US
Practice Address - Phone:541-343-1937
Practice Address - Fax:541-343-5875
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical