Individual provider · Type 1 NPI

Kevin Charles Fagan, LICSW

Clinical Social Worker · Warwick, RI

NPI number 1396891719 Active

Practice location

931 Jefferson Blvd., Suite 2009
Warwick, RI 02886

Fax (401) 921-5402

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01620 (RI)

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 1396891719

Kevin Charles Fagan, LICSW's National Provider Identifier is 1396891719, issued on Jan 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Warwick, RI. The record was last updated on Jun 22, 2011.