IndividualActive
Clement Fonseca, LCSW
NPI 1124539879 · Clinical Social Worker · Portland, OR
Clement Fonseca, LCSW is a Clinical Social Worker provider in Portland, OR (NPI 1124539879).
Provider details
- NPI number
- 1124539879
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- L11642 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3125b Ne Holladay St
Portland, OR 97232-2504
Phone: (503) 217-4457
Street-level locationGet directions
Mailing address
Po Box 11764
Portland, OR 97211-0764
Registry dates
- Enumerated
- 2017-10-21
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Frequently asked questions
- What is Clement Fonseca's NPI number?
- Clement Fonseca's National Provider Identifier (NPI) is 1124539879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clement Fonseca's specialty?
- Clement Fonseca is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Clement Fonseca located?
- Clement Fonseca's practice location on file with NPPES is 3125b Ne Holladay St, Portland, OR 97232-2504.
- What is Clement Fonseca's phone number?
- The practice phone number listed in the NPPES registry for Clement Fonseca is (503) 217-4457.
- Is Clement Fonseca's NPI active?
- Yes — Clement Fonseca's NPI (1124539879) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.