Individual provider · Type 1 NPI
Camm D. Clark, LCSW
Clinical Social Worker · Eugene, OR
Practice location
149 W. 12th Avenue
Eugene, OR 97401-6215
Fax (541) 344-0772
Mailing address
687 Cheshire Avenue
Eugene, OR 97402-5060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | A3225 (OR) |
| Clinical Social Worker Primary | 1041C0700X | L6545 (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 1699118935
Camm D. Clark, LCSW's National Provider Identifier is 1699118935, issued on Apr 16, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Nov 18, 2015.