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FREDERICK COBURN LCSW
NPI 1437518404
Social Worker - Clinical in New Haven, CT

Active since February 18, 2016
495 CONGRESS AVE, NEW HAVEN, CT 06519(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2016, Feb 18, 2016 (2 updates tracked since 2016).

About Frederick Coburn Lcsw NPPES

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

FREDERICK COBURN LCSW (NPI 1437518404) is an individual clinical provider in New Haven, Connecticut, licensed in Connecticut (9362) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1437518404
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameFREDERICK COBURNCredential: LCSW
Location Address495 CONGRESS AVENew Haven, CT 06519-1312
Mailing Address1 Long Wharf DrNew Haven, CT 06511-5946
Phone(203) 781-4600
Fax(203) 781-4624
Sole ProprietorNo
Enumeration DateFebruary 18, 2016
Last NPPES UpdateJune 7, 20162 updates tracked since enumeration
✔ NPI 1437518404 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 CT · 9362
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.

495 CONGRESS AVE, New Haven, CT 06519
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Other Identifiers 1

Other008064062CT · Coburn Medicaid

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.

MS. JUNE DEMARINIS APRN
Nurse Practitioner (Adult Health)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4640
TERESA ROEHRICH LADC
Counselor (Addiction (Substance Use Disorder))
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4740
EARLE B SANFORD LPC, LADC
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
ANNE M GAETANO LPC, NCC, CCMHC, BCP
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
ASHLEY SPOSE LPC
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
MS. SHENIK'A LEE LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
MS. TANISHA JOHNSON LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
DESIREE NEWTON LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600

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 Frederick Coburn's NPI number?

The NPI number for Frederick Coburn is 1437518404. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is Frederick Coburn located?

Frederick Coburn practices at 495 Congress Ave, New Haven, CT 06519. The listed phone number is (203) 781-4600.

What is Frederick Coburn'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 Frederick Coburn was last updated on June 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.