Active NPIIndividual provider

Sara M Cosseboom, LCSW

Social Worker, Clinical in Middlebury, Connecticut

NPI Number1194609313
Practice location
390 Middlebury RD Ste 2, Middlebury, CT 06762-2634
Fax
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Last updated
August 1, 2025

Sara Marie Cosseboom is a Social Worker, Clinical based in Middlebury, CT. Sara Marie Cosseboom practices in Middlebury, CT and has the professional credentials of LCSW. The NPI Number for Sara Marie Cosseboom is 1194609313 and holds a License No. 15541 (CT). The current practice location address for Sara Marie Cosseboom is 390 Middlebury RD Ste 2, Middlebury, CT 06762-2634 and can be reached out via phone at 203-558-1143.

Provider Profile Details

NPI Number
1194609313
Provider Name
Sara Marie Cosseboom
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
390 Middlebury RD Ste 2, Middlebury, CT 06762-2634
Phone Number
203-558-1143
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2025
Last Update Date
August 1, 2025
Certification Date
August 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 Middlebury RD Ste 2
Middlebury, CT 06762-2634
Zip
06762-2634
Phone Number
203-558-1143
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
60 Hazel Dr Unit 117
Cheshire, CT 06410-1071
City
Cheshire
State
CT
Zip
06410-1071
Phone Number
774-608-6037

License Information

License Number
15541
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sara M Cosseboom, LCSW?

The NPI number of Sara M Cosseboom, LCSW is 1194609313. It was assigned on August 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Sara M Cosseboom, LCSW?

Sara M Cosseboom, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 15541.

Where does Sara M Cosseboom, LCSW practice?

The practice location is 390 Middlebury RD Ste 2, Middlebury, CT 06762-2634. The office can be reached at 203-558-1143 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194609313 directly on the NPPES registry website.

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