Ms. Alicia M Fagan, LCSW
Counselor, Addiction (Substance Use Disorder) in Southington, Connecticut
1629157615- Practice location
- 51 North Main Street, Ste 2C, Southington, CT 06489
- Phone
- 860-621-2280
- Fax
- 860-628-0219
- Last updated
- January 6, 2012
Alicia Mary Fagan is a Counselor, Addiction (Substance Use Disorder) based in Southington, CT. Alicia Mary Fagan practices in Southington, CT and has the professional credentials of LCSW. The NPI Number for Alicia Mary Fagan is 1629157615 and holds a License No. 000422 (CT). The current practice location address for Alicia Mary Fagan is 51 North Main Street, Ste 2C, Southington, CT 06489 and can be reached out via phone at 860-621-2280 and via fax at 860-628-0219.
Provider Profile Details
- NPI Number
- 1629157615
- Provider Name
- Alicia Mary Fagan
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 51 North Main Street, Ste 2C, Southington, CT 06489
- Phone Number
- 860-621-2280
- Fax Number
- 860-628-0219
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2006
- Last Update Date
- January 6, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 North Main Street
Ste 2C
Southington, CT 06489 - City
- Southington
- State
- Connecticut
- Zip
- 06489
- Phone Number
- 860-621-2280
- Fax Number
- 860-628-0219
Provider Business Mailing Address Details
- Address
- 51 North Main Street
Ste 2C
Southington, CT 06489 - City
- Southington
- State
- CT
- Zip
- 06489
- Phone Number
- 860-621-2280
- Fax Number
- 860-628-0219
License Information
- License Number (1)
- 000422
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 000618
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Alicia M Fagan, LCSW?
The NPI number of Ms. Alicia M Fagan, LCSW is 1629157615. It was assigned on November 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Alicia M Fagan, LCSW?
Ms. Alicia M Fagan, LCSW is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000422.
Where does Ms. Alicia M Fagan, LCSW practice?
The practice location is 51 North Main Street, Ste 2C, Southington, CT 06489. The office can be reached at 860-621-2280 (phone) or 860-628-0219 (fax).
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 1629157615 directly on the NPPES registry website.