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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADAM CLARK, LCSW

Active

ADAM CLARK, LCSW is a Clinical Social Worker healthcare provider located in COQUILLE, Oregon. NPI 1699276287 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COQUILLE, OR

Registration Details

NPI Number
1699276287
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2018 (8.4486732836627 yrs)
Last Updated
Sep 3, 2020
Licenses
CSW.09924908 (CO)
L8122 (OR)

Practice Information

Address
790 E 5TH ST
COQUILLE, OR, 974231755
Browse OR providers · Browse ZIP 97423
Phone
5413963111
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in COQUILLE, OR

Name Credential NPI
MARNE POTOCKI 1528591260
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.