Individual provider · Type 1 NPI
Susan Michelle Fagan, LCSW
Clinical Social Worker · Wallingford, CT
Practice location
185 Center Street Suite B
Wallingford, CT 06492
Mailing address
89 S Ridgeland Rd
Wallingford, CT 06492-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 006222 (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 1851594899
Susan Michelle Fagan, LCSW's National Provider Identifier is 1851594899, issued on Jun 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wallingford, CT. The record was last updated on Jul 8, 2007.