Individual provider · Type 1 NPI

Camille Coleman, LCSW

Clinical Social Worker · Portland, OR

NPI number 1154027050 Active

Practice location

5441 S Macadam Ave # 8112
Portland, OR 97239-6106

Mailing address

3507 NE 12th Ave
Portland, OR 97212-2250

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X150109749 (IL)
Clinical Social Worker 1041C0700XA14365 (OR)
Clinical Social Worker Primary 1041C0700XL16312 (OR)

Clinical Social Worker: 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 interpers…

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About NPI 1154027050

Camille Coleman, LCSW's National Provider Identifier is 1154027050, issued on Feb 1, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 14, 2025.