Adam Clark, LCSW
Adam Clark, LCSW is a Clinical Social Worker in Coquille, Oregon. Qualified in 2014, 12 years ago. Practices with Waterfall Clinic Incorporated, a 17-clinician group and works from 2 locations. Licensed in Colorado and Oregon.
- Years since qualifying
- 12
- Licensed in
- CO, OR
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
790 E 5th StCoquille, OR 97423-1755
Phone: (541) 396-3111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 66895 West St, Bend, OR 97703-9282 — (541) 668-7683
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence L8122 (OR) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence CSW.09924908 (CO) |
Record details
| NPI number | 1699276287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | February 28, 2018 |
| Last updated in NPPES | September 3, 2020 |
| Certification date | September 3, 2020 |
| Mailing address | 940 E 5th St, Coquille, OR 97423-1699 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Waterfall Clinic Incorporated — 17 clinicians |
| Accepts Medicare assignment | Not indicated |
Other providers in Coquille
-
Stephen Michael Crockett Anderson, MSW
985 W 17th St, Coquille, OR 97423-1084 · (541) 294-7747
-
Pathfinders Behavioral Health LLC
271 N Baxter St, Coquille, OR 97423-1826 · (541) 404-4542
-
Strengths Based Explorations LLC
271 N Baxter St, Coquille, OR 97423-1826 · (707) 537-5072