Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Coburn, LCSW

Individual provider Clinical Social Worker · NPI 1437518404

Frederick Coburn, LCSW is a Clinical Social Worker in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

495 Congress Ave
New Haven, CT 06519-1312
Phone: (203) 781-4600
Fax: (203) 781-4624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9362 (CT)

Record details

NPI number1437518404
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2016
Last updated in NPPESJune 7, 2016

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