Active NPIIndividual providerSole proprietor

Suzette M Fagan, LCSW

Social Worker, Clinical in Franklin Park, New Jersey

NPI Number1679879308
Practice location
75 Lindsey CT, Franklin Park, NJ 08823-1531
Fax
—
Last updated
January 27, 2011

Suzette M Fagan is a Social Worker, Clinical based in Franklin Park, NJ. Suzette M Fagan practices in Franklin Park, NJ and has the professional credentials of LCSW. The NPI Number for Suzette M Fagan is 1679879308 and holds a License No. 44SC05437500 (NJ). The current practice location address for Suzette M Fagan is 75 Lindsey CT, Franklin Park, NJ 08823-1531 and can be reached out via phone at 732-789-9986.

Provider Profile Details

NPI Number
1679879308
Provider Name
Suzette M Fagan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
75 Lindsey CT, Franklin Park, NJ 08823-1531
Phone Number
732-789-9986
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2011
Last Update Date
January 27, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Lindsey CT
Franklin Park, NJ 08823-1531
Zip
08823-1531
Phone Number
732-789-9986
Franklin Park, NJ 08823Get directions →

Provider Business Mailing Address Details

Address
75 Lindsey CT
Franklin Park, NJ 08823-1531
City
Franklin Park
State
NJ
Zip
08823-1531

License Information

License Number
44SC05437500
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.

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Frequently Asked Questions

What is the NPI number of Suzette M Fagan, LCSW?

The NPI number of Suzette M Fagan, LCSW is 1679879308. It was assigned on January 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Suzette M Fagan, LCSW?

Suzette M Fagan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05437500.

Where does Suzette M Fagan, LCSW practice?

The practice location is 75 Lindsey CT, Franklin Park, NJ 08823-1531. The office can be reached at 732-789-9986 (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 1679879308 directly on the NPPES registry website.

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