Individual provider · Type 1 NPI
Eilis M. Fagan, LCSW
Clinical Social Worker · Chicago, IL
Practice location
5646 N Wayne Ave Apt 3
Chicago, IL 60660-0090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 150104048 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.023436 (IL) |
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 1659918571
Eilis M. Fagan, LCSW's National Provider Identifier is 1659918571, issued on Dec 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jun 9, 2023.