Individual provider · Type 1 NPI

Carol Fagan

Clinical Social Worker · Brooklyn, NY

NPI number 1548633746 Active

Practice location

1819 Bergen St
Brooklyn, NY 11233-4513

Fax (718) 613-3159

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X038389 (NY)

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 1548633746

Carol Fagan's National Provider Identifier is 1548633746, issued on Nov 10, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 10, 2015.