Heather Lynn Lafontaine, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11794 Issued in OR

Practice address

1831 SE 7TH Ave
Portland, OR 97214-3578

Phone

(971) 895-1751

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather Lafontaine-Ellison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Portland Trauma and Dissociation Specialists LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1619854148
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073261392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14701",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972930701",
            "telephone_number": "971-895-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 SE 7TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143578",
            "telephone_number": "971-895-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONTAINE",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "CSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LAFONTAINE-ELLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Travis Pack Lafayette, OD
• Ginny Lee Laferriere, NP
• Angela Rae Laffredi, BT
• Timothy J Lafolette, PMHNP
• Gavin Lafontaine
• Lisette Lafontant
• Nicole Alyssa Laford, RD
• Siona Laform
• John Lafrance
• Stephen Henry Lafranchi, MD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.