Individual provider · Type 1 NPI

Adam Clark, LCSW

Clinical Social Worker · Coquille, OR

NPI number 1699276287 Active

Practice location

790 E 5th St
Coquille, OR 97423-1755

Call (541) 396-3111 Map

Mailing address

940 E 5th St
Coquille, OR 97423-1699

Other practice locations

  • 66895 West St, Bend, OR 97703-9282 · (541) 668-7683

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW.09924908 (CO)
Clinical Social Worker Primary 1041C0700XL8122 (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 1699276287

Adam Clark, LCSW's National Provider Identifier is 1699276287, issued on Feb 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coquille, OR. The record was last updated on Sep 3, 2020.