Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLEE COOPER CLARK CSWA
NPI 1043825169
Social Worker - Clinical in La Grande, OR

Q: What is Tylee Clark's NPI number?

The NPI number for Tylee Clark is 1043825169. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Q: What is Tylee Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tylee Clark was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2020

2301 COVE AVE, LA GRANDE, OR 97850(541) 962-8800(541) 963-5272 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, Dec 1, 2025, Sep 15, 2020 (3 updates tracked since 2020).

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About Tylee Cooper Clark Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLEE COOPER CLARK CSWA (NPI 1043825169) is an individual clinical provider in La Grande, Oregon, licensed in Oregon (A15351) and active in the NPI registry since September 2020. She maintains a secondary practice location in Tigard.

NPPES Registry Identity

NPI1043825169

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTYLEE COOPER CLARKCredential: CSWA

Location Address2301 COVE AVELa Grande, OR 97850-3906

Mailing Address2301 Cove AveLa Grande, OR 97850-3906 · (541) 962-8800 · Fax (541) 963-5272

Phone(541) 962-8800

Fax(541) 963-5272

Sole ProprietorNo

Enumeration DateSeptember 15, 2020

Last NPPES UpdateOctober 20, 20263 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1043825169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · A15351

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X · License A15351 (OR)

2301 COVE AVE, La Grande, OR 97850

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Secondary Practice Location 1

Location 111740 SW 68th Pkwy Ste 200Tigard, OR 97223-9058 · Phone (425) 477-4216 · Fax (971) 352-6984

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER R HERNANDEZ CRM

Counselor