Clifford Raymond Fagan in Irving - Clinical
Clifford Raymond Fagan - NPI 1053345553
Clifford Raymond Fagan is a Clinical in Irving, Texas. Clifford Raymond Fagan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clifford Raymond Fagan is 1053345553. The last update date is 2017-02-10.
Clifford Raymond Fagan's current location address is 800 W Airport Fwy, Irving, Texas. You can contact this provider via phone number 2147045879. The mailing address for Clifford Raymond Fagan is 800 W Airport Fwy, Irving, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Raymond Fagan |
|---|---|
| Address | 800 W Airport Fwy, Irving, Texas |
| Phone Number | 2147045879 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW CCM |
NPI Number Detail
| NPI Number | 1053345553 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 800 W Airport Fwy |
|---|---|
| City | Irving |
| State | Texas (TX) |
| Post Code | 750626312 |
| Phone Number | 2147045879 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 31107 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1565863-02 | TX | -- | |
| 66897 | TX | CSHCN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clifford Raymond Fagan by the Centers for Medicare & Medicaid Services?
The Clifford Raymond Fagan has been issued the NPI (National Provider Identifier) 1053345553 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Clifford Raymond Fagan located?
The Clifford Raymond Fagan is located at 800 W Airport Fwy, Irving, TX 750626312.
What is the area of specialization for Clifford Raymond Fagan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clifford Raymond Fagan is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053345553 to Clifford Raymond Fagan?
The Clifford Raymond Fagan received its 1053345553 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details related to Clifford Raymond Fagan most recently updated or revised?
The information pertaining to Clifford Raymond Fagan, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-10.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH