Individual provider · Type 1 NPI

Tylee Cooper Clark, CSWA

Clinical Social Worker · La Grande, OR

NPI number 1043825169 Active

Practice location

2301 Cove Ave
La Grande, OR 97850-3906

Call (541) 962-8800 Map

Fax (541) 963-5272

Other practice locations

  • 11740 SW 68th Pkwy Ste 200, Tigard, OR 97223-9058 · (425) 477-4216

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA15351 (OR)
Clinical Social Worker Primary 1041C0700XA15351 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043825169

Tylee Cooper Clark, CSWA's National Provider Identifier is 1043825169, issued on Sep 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Grande, OR. The record was last updated on Oct 20, 2026.