Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill R Clark, LCSW

Individual provider Mental Health Counselor · NPI 1871852681

Jill R Clark, LCSW is a Mental Health Counselor in Eugene, Oregon. Practices as a sole proprietor. Licensed in Ohio and Oregon.

Licensed in
OH, OR
In the registry since
2012
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.

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Practice location Address checks out

399 E 10th Ave
Eugene, OR 97401-3380
Phone: (678) 852-8578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L7010 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence I.1200470 (OH)

Record details

NPI number1871852681
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 14, 2012
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

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