Susan Fagan, Lcsw Llc in Wallingford - Clinical
Susan Fagan, Lcsw Llc - NPI 1851588636
Susan Fagan, Lcsw Llc is a Clinical in Wallingford, Connecticut. Susan Fagan, Lcsw Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Fagan, Lcsw Llc is 1851588636. The last update date is 2007-09-26.
Susan Fagan, Lcsw Llc's current location address is 89 S Ridgeland Rd, Wallingford, Connecticut. You can contact this provider via phone number 2032843467. The mailing address for Susan Fagan, Lcsw Llc is 89 S Ridgeland Rd, Wallingford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susan Fagan, Lcsw Llc |
|---|---|
| Address | 89 S Ridgeland Rd, Wallingford, Connecticut |
| Phone Number | 2032843467 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LCSW |
|---|---|
| Authorized Official Name | Fagan Susan |
| Credentials | LCSW |
| Telephone Number | 2032843467 |
NPI Number Detail
| NPI Number | 1851588636 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 89 S Ridgeland Rd |
|---|---|
| City | Wallingford |
| State | Connecticut (CT) |
| Post Code | 64922921 |
| Phone Number | 2032843467 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6222 |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan Fagan, Lcsw Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Fagan, Lcsw Llc has been assigned the NPI (National Provider Identifier) 1851588636. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Susan Fagan, Lcsw Llc is geographically located?
The Susan Fagan, Lcsw Llc is physically situated at the following location: 89 S Ridgeland Rd, Wallingford, CT, 64922921.
What is the Susan Fagan, Lcsw Llc's specialty and taxonomy code?
The Susan Fagan, Lcsw Llc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1851588636 assigned to Susan Fagan, Lcsw Llc?
The Susan Fagan, Lcsw Llc was issued its 1851588636 on 2007-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Susan Fagan, Lcsw Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Fagan, Lcsw Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-26.