Kevin Charles Fagan in Warwick - Clinical
Kevin Charles Fagan - NPI 1396891719
Kevin Charles Fagan is a Clinical in Warwick, Rhode Island. Kevin Charles Fagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Charles Fagan is 1396891719. The last update date is 2011-06-22.
Kevin Charles Fagan's current location address is 931 Jefferson Blvd., Warwick, Rhode Island. You can contact this provider via phone number 4019215400 and fax number 4019215402. The mailing address for Kevin Charles Fagan is 931 Jefferson Blvd., Warwick, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Charles Fagan |
|---|---|
| Address | 931 Jefferson Blvd., Warwick, Rhode Island |
| Phone Number | 4019215400 |
| Fax Number | 4019215402 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1396891719 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2011-06-22 |
Provider Mailing Address Detail
| Address | 931 Jefferson Blvd. |
|---|---|
| City | Warwick |
| State | Rhode Island (RI) |
| Post Code | 2886 |
| Phone Number | 4019215400 |
| Fax Number | 4019215402 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01620 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Charles Fagan by the Centers for Medicare & Medicaid Services?
The Kevin Charles Fagan has been assigned the NPI (National Provider Identifier) 1396891719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kevin Charles Fagan's facilities are situated?
The facilities of Kevin Charles Fagan are physically located at the following address: 931 Jefferson Blvd., Warwick, RI, 2886.
What is Kevin Charles Fagan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Charles Fagan is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396891719 to Kevin Charles Fagan?
The Kevin Charles Fagan received its 1396891719 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information regarding Kevin Charles Fagan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin Charles Fagan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-22.