Active NPIIndividual providerSole proprietor

Jessica Fagan, LICSW

Social Worker, Clinical in Bellingham, Massachusetts

NPI Number1063837540
Practice location
24 Fox Run RD, Bellingham, MA 02019-2905
Fax
—
Last updated
May 19, 2026

Jessica Fagan is a Social Worker, Clinical based in Bellingham, MA. Jessica Fagan practices in Bellingham, MA and has the professional credentials of LICSW. The NPI Number for Jessica Fagan is 1063837540 and holds a License No. 1130803 (MA). The current practice location address for Jessica Fagan is 24 Fox Run RD, Bellingham, MA 02019-2905 and can be reached out via phone at 508-296-4277.

Provider Profile Details

NPI Number
1063837540
Provider Name
Jessica Fagan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
24 Fox Run RD, Bellingham, MA 02019-2905
Phone Number
508-296-4277
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2014
Last Update Date
May 19, 2026
Certification Date
May 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Fox Run RD
Bellingham, MA 02019-2905
Zip
02019-2905
Phone Number
508-296-4277
Bellingham, MA 02019Get directions →

Provider Business Mailing Address Details

Address
430 Franklin Village Dr # 286
Franklin, MA 02038-4007
City
Franklin
State
MA
Zip
02038-4007

License Information

License Number
1130803
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Fagan, LICSW?

The NPI number of Jessica Fagan, LICSW is 1063837540. It was assigned on February 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Jessica Fagan, LICSW?

Jessica Fagan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1130803.

Where does Jessica Fagan, LICSW practice?

The practice location is 24 Fox Run RD, Bellingham, MA 02019-2905. The office can be reached at 508-296-4277 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063837540 directly on the NPPES registry website.

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