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

Wyatt T Coulon, LCSW

Individual provider Clinical Social Worker · NPI 1649912999

Wyatt T Coulon, LCSW is a Clinical Social Worker in Portland, Maine. Licensed in Maine. Registered with an NPI since 2022.

Licensed in
ME
In the registry since
2022
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

22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-1888
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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 LC19827 (ME)

Record details

NPI number1649912999
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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