Active NPIIndividual providerSole proprietor

Mrs. Renee Fagan, MSW, LCSW

Social Worker, Clinical in Pine Brook, New Jersey

NPI Number1467471029
Practice location
328 Changebridge RD # 200, Pine Brook, NJ 07058-9805
Fax
—
Last updated
May 19, 2025

Renee Fagan is a Social Worker, Clinical based in Pine Brook, NJ. Renee Fagan practices in Pine Brook, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Renee Fagan is 1467471029 and holds a License No. SC07498 (NJ). The current practice location address for Renee Fagan is 328 Changebridge RD # 200, Pine Brook, NJ 07058-9805 and can be reached out via phone at 201-396-7129.

Provider Profile Details

NPI Number
1467471029
Provider Name
Renee Fagan
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
328 Changebridge RD # 200, Pine Brook, NJ 07058-9805
Phone Number
201-396-7129
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2006
Last Update Date
May 19, 2025
Certification Date
May 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
328 Changebridge RD # 200
Pine Brook, NJ 07058-9805
Zip
07058-9805
Phone Number
201-396-7129
Pine Brook, NJ 07058Get directions →

Provider Business Mailing Address Details

Address
328 Changebridge RD # 200
Pine Brook, NJ 07058-9805
City
Pine Brook
State
NJ
Zip
07058-9805
Phone Number
201-396-7129

License Information

License Number
SC07498
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

Other Social Worker, Clinical providers near Pine Brook, NJ

View all Social Worker, Clinical providers in Pine Brook →

Frequently Asked Questions

What is the NPI number of Mrs. Renee Fagan, MSW, LCSW?

The NPI number of Mrs. Renee Fagan, MSW, LCSW is 1467471029. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Renee Fagan, MSW, LCSW?

Mrs. Renee Fagan, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number SC07498.

Where does Mrs. Renee Fagan, MSW, LCSW practice?

The practice location is 328 Changebridge RD # 200, Pine Brook, NJ 07058-9805. The office can be reached at 201-396-7129 (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 1467471029 directly on the NPPES registry website.

Browse related providers