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MR. CAMM D. CLARK LCSW
NPI 1699118935
Social Worker - Clinical in Eugene, OR

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
149 W. 12TH AVENUE, EUGENE, OR 97401(541) 762-4400(541) 344-0772 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1699118935
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CAMM D. CLARKCredential: LCSW
Location Address149 W. 12TH AVENUEEugene, OR 97401-6215
Mailing Address687 Cheshire AvenueEugene, OR 97402-5060 · (541) 762-4400 · Fax (541) 344-0772
Phone(541) 762-4400
Fax(541) 344-0772
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 16, 2013
Last NPPES UpdateNovember 18, 2015
✔ NPI 1699118935 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 · L6545
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 ListedSocial WorkerTaxonomy 104100000X · License A3225 (OR)
149 W. 12TH AVENUE, Eugene, OR 97401
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Other Identifiers 1

OtherL6545OR · Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

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.

PECOS PAC ID9032485446
PECOS Enrollment IDI20171030000834
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.

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
62 services25 patients

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.

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

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

MRS. LISA M SPRING CADC II, QMHA-1
Counselor (Addiction (Substance Use Disorder))
149 W. 12TH AVENUE
EUGENE, OR 97401
Lane County (541) 762-4414

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.

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.