- Practice location
- 2301 Cove Ave, La Grande, OR 97850-3906
- Phone
- 541-962-8800
- Fax
- 541-963-5272
- Last updated
- October 20, 2026
Tylee Cooper Clark is a Social Worker, Clinical based in La Grande, OR. Tylee Cooper Clark practices in La Grande, OR and has the professional credentials of CSWA. The NPI Number for Tylee Cooper Clark is 1043825169 and holds a License No. A15351 (OR). The current practice location address for Tylee Cooper Clark is 2301 Cove Ave, La Grande, OR 97850-3906 and can be reached out via phone at 541-962-8800 and via fax at 541-963-5272.
Provider Profile Details
- NPI Number
- 1043825169
- Provider Name
- Tylee Cooper Clark
- Credential
- CSWA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2301 Cove Ave, La Grande, OR 97850-3906
- Phone Number
- 541-962-8800
- Fax Number
- 541-963-5272
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 15, 2020
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2301 Cove Ave
La Grande, OR 97850-3906 - City
- La Grande
- State
- Oregon
- Zip
- 97850-3906
- Phone Number
- 541-962-8800
- Fax Number
- 541-963-5272
Provider Business Mailing Address Details
- Address
- 2301 Cove Ave
La Grande, OR 97850-3906 - City
- La Grande
- State
- OR
- Zip
- 97850-3906
- Phone Number
- 541-962-8800
- Fax Number
- 541-963-5272
License Information
- License Number (1)
- A15351
- License State (1)
- OR
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- A15351
- License State (2)
- OR
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near La Grande, OR
View all Social Worker, Clinical providers in La Grande →Frequently Asked Questions
What is the NPI number of Tylee C Clark, CSWA?
The NPI number of Tylee C Clark, CSWA is 1043825169. It was assigned on September 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Tylee C Clark, CSWA?
Tylee C Clark, CSWA is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number A15351.
Where does Tylee C Clark, CSWA practice?
The practice location is 2301 Cove Ave, La Grande, OR 97850-3906. The office can be reached at 541-962-8800 (phone) or 541-963-5272 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043825169 directly on the NPPES registry website.