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

Individual provider Clinical Social Worker · NPI 1609932490

Robert Marc Clark, LCSWLICENSEDCLINIC is a Clinical Social Worker in Pendleton, Oregon. Qualified in 1982, 44 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
44
Licensed in
OR
In the registry since
2006
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Practice location Address checks out

200 SE Hailey Ave Ste 301
Pendleton, OR 97801-1329
Phone: (541) 276-4017
Fax: (541) 278-3353
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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 L0751 (OR)

Record details

NPI number1609932490
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWLICENSEDCLINIC
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pendleton