Stephanie A Fagan, LICSW
Social Worker, Clinical in Dayville, Connecticut
1679839997- Practice location
- 1006 N Main Street, Dayville, CT 06241-2170
- Phone
- 860-774-2020
- Fax
- 860-779-5437
- Last updated
- June 8, 2017
Stephanie A Fagan is a Social Worker, Clinical based in Dayville, CT. Stephanie A Fagan practices in Dayville, CT and has the professional credentials of LICSW. The NPI Number for Stephanie A Fagan is 1679839997 and holds a License No. LC50081357 (DC). The current practice location address for Stephanie A Fagan is 1006 N Main Street, Dayville, CT 06241-2170 and can be reached out via phone at 860-774-2020 and via fax at 860-779-5437.
Provider Profile Details
- NPI Number
- 1679839997
- Provider Name
- Stephanie A Fagan
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1006 N Main Street, Dayville, CT 06241-2170
- Phone Number
- 860-774-2020
- Fax Number
- 860-779-5437
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2012
- Last Update Date
- June 8, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1006 N Main Street
Dayville, CT 06241-2170 - City
- Dayville
- State
- Connecticut
- Zip
- 06241-2170
- Phone Number
- 860-774-2020
- Fax Number
- 860-779-5437
Provider Business Mailing Address Details
- Address
- 4115 Wisconsin Ave NW
Apt. 501
Washington, DC 20016 - City
- Washington
- State
- DC
- Zip
- 20016
- Phone Number
- 347-254-4668
License Information
- License Number (1)
- LC50081357
- License State (1)
- DC
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 1237
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
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 Stephanie A Fagan, LICSW?
The NPI number of Stephanie A Fagan, LICSW is 1679839997. It was assigned on April 11, 2012 and is currently active in the NPPES registry.
What is the specialty of Stephanie A Fagan, LICSW?
Stephanie A Fagan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in DC under license number LC50081357.
Where does Stephanie A Fagan, LICSW practice?
The practice location is 1006 N Main Street, Dayville, CT 06241-2170. The office can be reached at 860-774-2020 (phone) or 860-779-5437 (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 1679839997 directly on the NPPES registry website.