Individual provider · Type 1 NPI

Michael Brian Fagan, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1699003392 Active

Practice location

135 Eastern Pkwy Apt 1B
Brooklyn, NY 11238-6037

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XR052154-1 (NY)
Clinical Social Worker Primary 1041C0700X052154 (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 1699003392

Michael Brian Fagan, LCSW's National Provider Identifier is 1699003392, issued on Nov 18, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on May 15, 2024.