Active NPIIndividual providerSole proprietor

Ms. Sara K Fagan

Social Worker in Montclair, New Jersey

NPI Number1790154763
Practice location
60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663
Fax
—
Last updated
September 21, 2015

Sara Kate Fagan is a Social Worker based in Montclair, NJ. Sara Kate Fagan practices in Montclair, NJ. The NPI Number for Sara Kate Fagan is 1790154763 and holds a License No. 44SL05819200 (NJ). The current practice location address for Sara Kate Fagan is 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663 and can be reached out via phone at 973-744-6522.

Provider Profile Details

NPI Number
1790154763
Provider Name
Sara Kate Fagan
Provider Entity Type
Individual
Gender
Female
Address
60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663
Phone Number
973-744-6522
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2015
Last Update Date
September 21, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 S Fullerton Ave Ste 210
Montclair, NJ 07042-2663
Zip
07042-2663
Phone Number
973-744-6522
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
60 S Fullerton Ave Ste 210
Montclair, NJ 07042-2663
City
Montclair
State
NJ
Zip
07042-2663
Phone Number
973-744-6522

License Information

License Number
44SL05819200
License State
NJ
Taxonomy
Social Worker · 104100000X · 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 Ms. Sara K Fagan?

The NPI number of Ms. Sara K Fagan is 1790154763. It was assigned on September 21, 2015 and is currently active in the NPPES registry.

What is the specialty of Ms. Sara K Fagan?

Ms. Sara K Fagan is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL05819200.

Where does Ms. Sara K Fagan practice?

The practice location is 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663. The office can be reached at 973-744-6522 (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 1790154763 directly on the NPPES registry website.

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