Active NPIIndividual provider

Nicole F Fagone, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1245272798
Practice location
2 Dundee Park Dr, Andover, MA 01810-3735
Fax
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Last updated
June 23, 2023

Nicole Frances Fagone is a Social Worker, Clinical based in Andover, MA. Nicole Frances Fagone practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Nicole Frances Fagone is 1245272798 and holds a License No. 2032189 (MA). The current practice location address for Nicole Frances Fagone is 2 Dundee Park Dr, Andover, MA 01810-3735 and can be reached out via phone at 617-256-7616.

Provider Profile Details

NPI Number
1245272798
Provider Name
Nicole Frances Fagone
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2 Dundee Park Dr, Andover, MA 01810-3735
Phone Number
617-256-7616
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2006
Last Update Date
June 23, 2023
Certification Date
June 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Dundee Park Dr
Andover, MA 01810-3735
Zip
01810-3735
Phone Number
617-256-7616
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
640 Andover St
Lowell, MA 01852-1532
City
Lowell
State
MA
Zip
01852-1532
Phone Number
617-256-7616

License Information

License Number (1)
2032189
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
124567
License State (2)
MA
Taxonomy (2)
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 Nicole F Fagone, LICSW?

The NPI number of Nicole F Fagone, LICSW is 1245272798. It was assigned on June 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole F Fagone, LICSW?

Nicole F Fagone, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 2032189.

Where does Nicole F Fagone, LICSW practice?

The practice location is 2 Dundee Park Dr, Andover, MA 01810-3735. The office can be reached at 617-256-7616 (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 1245272798 directly on the NPPES registry website.

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