Susan Michelle Fagan in Wallingford - Clinical
Susan Michelle Fagan - NPI 1851594899
Susan Michelle Fagan is a Clinical in Wallingford, Connecticut. Susan Michelle Fagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Michelle Fagan is 1851594899. The last update date is 2007-07-08.
Susan Michelle Fagan's current location address is 185 Center Street Suite B, Wallingford, Connecticut. You can contact this provider via phone number 2032843467. The mailing address for Susan Michelle Fagan is 185 Center Street Suite B, Wallingford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Michelle Fagan |
|---|---|
| Address | 185 Center Street Suite B, Wallingford, Connecticut |
| Phone Number | 2032843467 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1851594899 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 185 Center Street Suite B |
|---|---|
| City | Wallingford |
| State | Connecticut (CT) |
| Post Code | 6492 |
| 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 Susan Michelle Fagan's unique identification number?
The Susan Michelle Fagan has been assigned the NPI (National Provider Identifier) Number 1851594899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susan Michelle Fagan's physical address?
The Susan Michelle Fagan is physically located at 185 Center Street Suite B, in the city of Wallingford, CT, with the postal code 6492.
What is Susan Michelle Fagan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Michelle Fagan is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Susan Michelle Fagan receive its 1851594899 assignment from the Centers for Medicare & Medicaid Services?
The Susan Michelle Fagan was assigned its 1851594899 on 2007-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Susan Michelle Fagan last refreshed?
The information related to the Susan Michelle Fagan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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