MR. CAMM D. CLARK LCSW
NPI 1699118935
Social Worker - Clinical in Eugene, OR
About Mr. Camm D. Clark Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CAMM D. CLARK LCSW (NPI 1699118935) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (L6545) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Camm D. Clark Lcsw 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.
Medicare Billing Reassignments
3Medicare enrollment records show Camm Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 53 clinicians in this Medicare group
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 5 clinicians in this Medicare group
Eugene, OR 97408
- Reassigned Medicare billing, Oregon enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EUGENE, OR 97401
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 Camm Clark's NPI number?
The NPI number for Camm Clark is 1699118935. It was assigned to this individual provider in the NPPES registry on April 16, 2013.
Where is Camm Clark located?
Camm Clark practices at 149 W. 12th Avenue, Eugene, OR 97401. The listed phone number is (541) 762-4400.
What is Camm Clark's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Camm Clark enrolled in Medicare?
Yes. Camm 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.
Which organizations bill Medicare for Camm Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camm Clark reassigns Medicare benefits to 3 organizations: Options Counseling Services Of Oregon (Eugene, OR), Applegate Medical Associates (Eugene, OR) and Northwest Medical Homes, LLC (Eugene, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camm Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Camm Clark accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Camm 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 Camm Clark was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Camm D. Clark, LCSW · NPI 1699118935
Clinical provider in Eugene, Oregon. Individual provider, active in the CMS NPPES registry since April 16, 2013.
## Identity
- **NPI:** 1699118935 (Entity type: Individual)
- **Enumerated:** April 16, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L6545 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 149 W. 12TH AVENUE, Eugene, OR 97401-6215
- **Phone:** (541) 762-4400 · **Fax:** (541) 344-0772
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Options Counseling Services Of Oregon (NPI 1548275217, Eugene, OR); Applegate Medical Associates (NPI 1417035031, Eugene, OR); Northwest Medical Homes, LLC (NPI 1174053094, Eugene, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 18, 2015
- **Other identifiers:** Other L6545 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1699118935) · Data from the CMS NPPES public registry.