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

Mr. Camm D. Clark, LCSW

Individual provider Social Worker · NPI 1699118935

Mr. Camm D. Clark, LCSW is a Clinical Social Worker in Eugene, Oregon. Qualified in 2012, 14 years ago. Practices with Northwest Medical Homes, LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2013
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

149 W 12th Ave
Eugene, OR 97401-6215
Phone: (541) 762-4400
Fax: (541) 344-0772
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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 L6545 (OR)
Social Worker Taxonomy 104100000X · Licence A3225 (OR)

Record details

NPI number1699118935
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESNovember 18, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northwest Medical Homes, Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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