Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Constance Joan Coquillette, LCSW

Individual provider Clinical Social Worker · NPI 1922237742

Constance Joan Coquillette, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2410 SE 121st Ave Ste 216
Portland, OR 97216-4085
Phone: (971) 404-5174
Fax: (503) 335-5974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L3057 (OR)

Record details

NPI number1922237742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 14, 2009

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