Individual provider · Type 1 NPI

Christina Marie Fagan, MSW, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1942378062 Active

Practice location

1 Jefferson Barracks Rd
St. Louis, MO 63125-4181

Call (314) 652-4100 Map

Mailing address

13 Pleasant Valley Dr
Swansea, IL 62226-1105

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000707 (MO)

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 1942378062

Christina Marie Fagan, MSW, LCSW's National Provider Identifier is 1942378062, issued on Nov 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.