Individual provider · Type 1 NPI

Jessica Fagan, LICSW

Clinical Social Worker · Bellingham, MA

NPI number 1063837540 Active

Practice location

24 Fox Run Rd
Bellingham, MA 02019-2905

Mailing address

430 Franklin Village Dr # 286
Franklin, MA 02038-4007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1130803 (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 1063837540

Jessica Fagan, LICSW's National Provider Identifier is 1063837540, issued on Feb 20, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bellingham, MA. The record was last updated on May 19, 2026.