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WYATT T COULON LCSW
NPI 1649912999
Social Worker - Clinical in Portland, ME

Active since April 08, 2022
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-1888 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 1, 2025, Apr 8, 2022 (2 updates tracked since 2022).

About Wyatt T Coulon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYATT T COULON LCSW (NPI 1649912999) is an individual clinical provider in Portland, Maine, licensed in Maine (LC19827) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1649912999
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWYATT T COULONCredential: LCSW
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-0111 · Fax (207) 662-6006
Phone(207) 662-1888
Sole ProprietorNo
Enumeration DateApril 8, 2022
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1649912999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · LC19827
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
22 BRAMHALL ST, Portland, ME 04102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Coulon's NPI number?

The NPI number for Wyatt Coulon is 1649912999. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Wyatt Coulon located?

Wyatt Coulon practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-1888.

What is Wyatt Coulon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Wyatt Coulon was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.