Renee Fagan is a Clinical in Midland Park, New Jersey. Renee Fagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Renee Fagan is 1467471029. The last update date is 2010-11-17.
Renee Fagan's current location address is 317 Godwin Ave, Midland Park, New Jersey. You can contact this provider via phone number 2016890500. The mailing address for Renee Fagan is 317 Godwin Ave, Midland Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Fagan |
|---|---|
| Address | 317 Godwin Ave, Midland Park, New Jersey |
| Phone Number | 2016890500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1467471029 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2010-11-17 |
Provider Mailing Address Detail
| Address | 317 Godwin Ave |
|---|---|
| City | Midland Park |
| State | New Jersey (NJ) |
| Post Code | 74321519 |
| Phone Number | 2016890500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SC07498 |
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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 10-digit identification code assigned to Renee Fagan by the Centers for Medicare & Medicaid Services?
The Renee Fagan has been issued the NPI (National Provider Identifier) 1467471029, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Renee Fagan?
The Renee Fagan is situated at 317 Godwin Ave, in the city of Midland Park, state of NJ, with the zip code 74321519.
What is Renee Fagan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Renee Fagan's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Renee Fagan receive its 1467471029 assignment from the Centers for Medicare & Medicaid Services?
The Renee Fagan was assigned its 1467471029 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Renee Fagan most recently updated or revised?
The details related to Renee Fagan, including its address, specialty, and other relevant information, were last updated or revised on 2010-11-17.