Individual provider · Type 1 NPI

Siedah Fagan

Clinical Social Worker · Boston, MA

NPI number 1013509033 Active

Practice location

100 Cambridge St Ste 1400
Boston, MA 02114-2545

Call (617) 932-3813 Map

Mailing address

PO Box 326
Stoughton, MA 02072-0326

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000226516 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1013509033

Siedah Fagan's National Provider Identifier is 1013509033, issued on Feb 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Feb 10, 2021.