Individual provider · Type 1 NPI

Susan Fagan, LCSW

Clinical Social Worker · Dix Hills, NY

NPI number 1811705809 Active

Practice location

71 Truxton Rd
Dix Hills, NY 11746-6725

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X092487 (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 1811705809

Susan Fagan, LCSW's National Provider Identifier is 1811705809, issued on Dec 21, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dix Hills, NY. The record was last updated on Dec 21, 2024.