Individual provider Active NPI

Sunny Saul, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1982116455
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11165 Issued in OR
Practice address
3655 W 13TH Ave Apt 167
Eugene, OR 97402-3483
Phone
(541) 930-9398
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L11165 OR Primary

Addresses

Primary practice location

3655 W 13TH Ave Apt 167
Eugene, OR 97402-3483

Mailing address

3655 W 13TH Ave Apt 167
Eugene, OR 97402-3483
Phone (541) 930-9398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L11165ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Lane Mental Health Services, Inc CurrentSince Oct 27, 2024 Accepting new patients
Sunny Mae Saul LLC Clinical Past Accepting new patients

Locations

1345 Birch Ave
Cottage Grove, OR 97424
Phone (541) 942-3939

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1982116455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W 13TH AVE APT 167",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023483",
            "telephone_number": "541-930-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 W 13TH AVE APT 167",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023483",
            "telephone_number": "541-930-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "SUNNY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.