Organization · Type 2 NPI

Terese Fagan LCSW LLC

Clinical Social Worker · West Hartford, CT

NPI number 1063962900 Active

Practice location

45 S Main St, Suite 107
West Hartford, CT 06107-2441

Call (860) 778-3304 Map

Mailing address

1131 Tolland Tpke, Unit 258
Manchester, CT 06042-1679

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X008738 (CT)

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 1063962900

Terese Fagan LCSW LLC's National Provider Identifier is 1063962900, issued on Oct 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Hartford, CT. The record was last updated on Oct 4, 2016.