ROBERT MARC CLARK LCSW LICENSED CLINIC
NPI 1609932490
Social Worker - Clinical in Pendleton, OR

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
200 SE HAILEY AVE, SUITE 301, PENDLETON, OR 97801(541) 276-4017(541) 278-3353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Marc Clark Lcsw Licensed Clinic NPPES

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

ROBERT MARC CLARK LCSW LICENSED CLINIC (NPI 1609932490) is an individual clinical provider in Pendleton, Oregon, licensed in Oregon (L0751) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1609932490
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT MARC CLARKCredential: LCSW LICENSED CLINIC
Location Address200 SE HAILEY AVE, SUITE 301Pendleton, OR 97801-1329
Mailing Address615 Nw 7th StrPendleton, OR 97801 · (541) 276-4017 · Fax (541) 278-3353
Fax(541) 278-3353
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609932490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L0751
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.
200 SE HAILEY AVE, Pendleton, OR 97801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert Marc Clark Lcsw Licensed Clinic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870676323
PECOS Enrollment IDI20080207000268
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
200 SE HAILEY AVE
PENDLETON, OR 97801
Counselor (Addiction (Substance Use Disorder))
200 SE HAILEY AVE
PENDLETON, OR 97801
Substance Abuse Rehabilitation Facility
200 SE HAILEY AVE
PENDLETON, OR 97801
Peer Specialist
200 SE HAILEY AVE
PENDLETON, OR 97801
Community/Behavioral Health
200 SE HAILEY AVE, SUITE 203
PENDLETON, OR 97801
Psychologist
200 SE HAILEY AVE, STE 204
PENDLETON, OR 97801
Peer Specialist
200 SE HAILEY AVE
PENDLETON, OR 97801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Clark's NPI number?

The NPI number for Robert Clark is 1609932490. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Robert Clark located?

Robert Clark practices at 200 SE Hailey Ave Suite 301, Pendleton, OR 97801. The listed phone number is (541) 276-4017.

What is Robert Clark's specialty?

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

Is Robert Clark enrolled in Medicare?

Yes. Robert Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Clark accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Robert Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.