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

MS. Kimberly Jo Coville, LCSW

Individual provider Mental Health Counselor · NPI 1538298393

MS. Kimberly Jo Coville, LCSW is a Clinical Social Worker in Portland, Maine. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
27
Licensed in
ME
In the registry since
2007
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

15 Mellen St
Portland, ME 04101-2109
Phone: (207) 772-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC6057 (ME)

Record details

NPI number1538298393
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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