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

Minah Kwon Clark, LCSW

Individual provider Clinical Social Worker · NPI 1306702840

Minah Kwon Clark, LCSW is a Clinical Social Worker in Eugene, Oregon. Qualified in 2016, 10 years ago. Practices with Lgbtq Telepsychiatry, a 16-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2025
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

1755 Coburg Rd Unit 301
Eugene, OR 97401-4900
Phone: (888) 468-9669
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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 10308 (OR)

Record details

NPI number1306702840
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lgbtq Telepsychiatry — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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