Individual provider · Type 1 NPI

Robert Marc Clark, LCSW LICENSED CLINIC

Clinical Social Worker · Pendleton, OR

NPI number 1609932490 Active

Practice location

200 SE Hailey Ave, Suite 301
Pendleton, OR 97801-1329

Fax (541) 278-3353

Mailing address

615 NW 7th Str
Pendleton, OR 97801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL0751 (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 1609932490

Robert Marc Clark, LCSW LICENSED CLINIC's National Provider Identifier is 1609932490, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pendleton, OR. The record was last updated on Jul 8, 2007.