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

Heather Lyn Rosenbaum, LCSW

Individual provider Clinical Social Worker · NPI 1356085765

Heather Lyn Rosenbaum, LCSW is a Clinical Social Worker in Southport, Connecticut. Qualified in 2015, 11 years ago. Practices with The Christian Counseling and Family Life Center, Inc, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
11
Licensed in
CT
In the registry since
2022
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

201 Hulls Hwy
Southport, CT 06890-1183
Phone: (203) 640-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 010177 (CT)

Record details

NPI number1356085765
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Christian Counseling And Family Life Center, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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