Individual provider · Type 1 NPI
Stephanie A. Fagan, LICSW
Clinical Social Worker · Dayville, CT
Practice location
1006 N Main Street
Dayville, CT 06241-2170
Fax (860) 779-5437
Mailing address
4115 Wisconsin Ave NW, Apt. 501
Washington, DC 20016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50081357 (DC) |
| Clinical Social Worker Primary | 1041C0700X | 1237 (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 1679839997
Stephanie A. Fagan, LICSW's National Provider Identifier is 1679839997, issued on Apr 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayville, CT. The record was last updated on Jun 8, 2017.