Robert Marc Clark, LCSW LICENSED CLINIC
NPI 1609932490ActiveIndividual· Social Worker, Clinical· Pendleton, OR
Social Worker, Clinical (LCSW LICENSED CLINIC) in Pendleton, Oregon, licensed in OR, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1609932490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW LICENSED CLINIC |
| Sole proprietor | No |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L0751 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OR) |
|---|
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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