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Active NPI 1609932490 Individual Practitioner Male Practitioner

Robert Marc Clark , LCSW LICENSED CLINIC

Social Worker - Clinical • Pendleton, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Robert Clark, LCSW LICENSED CLINIC is a certified Social Worker - Clinical practicing in Pendleton, OR. With approximately 44 years of clinical experience since completing medical education in 1982, Robert Clark delivers high-quality medical care to the local community at 200 SE HAILEY AVE.

Robert Clark accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Se Hailey Ave
Suite 301

Pendleton, OR 978011329

Telephone 5412764017
Fax 5412783353
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Pendleton, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +27.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Pendleton, OR (5148 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (44 Years) 44 Yrs
Pendleton Specialty Average (16.5 Years) 16.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
149 14 $165.00 $66.56

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L0751

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Lynne Lindberg , LCSW

Social Worker - Clinical

NPI 1104466127

Licensed Clinical Social Worker

Betty Jensen , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1225559354

CADCII

NPI 1619643616

CRM, CADCR

NPI 1649328089

Doctor of Philosophy (Ph.D.)

NPI 1811653751

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 SE HAILEY AVE, SUITE 301, PENDLETON, OR 978011329 (Tel: 5412764017)

📍
Updated Business Mailing Address July 08, 2007

Registered at 615 NW 7TH STR, PENDLETON, OR 97801 (Tel: 5412764017)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT CLARK, LCSW LICENSED CLINIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #L0751 in OR)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609932490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

615 Nw 7th Str

Pendleton, OR 97801

Phone: 5412764017

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.