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SIEDAH FAGAN
NPI 1013509033
Social Worker - Clinical in Boston, MA

Active since February 10, 2021PECOS Enrolled
100 CAMBRIDGE ST STE 1400, BOSTON, MA 02114(617) 932-3813 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siedah Fagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIEDAH FAGAN (NPI 1013509033) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (000226516) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013509033
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSIEDAH FAGAN
Location Address100 CAMBRIDGE ST STE 1400Boston, MA 02114-2545
Mailing AddressPo Box 326Stoughton, MA 02072-0326
Phone(617) 932-3813
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 10, 2021
NPPES CertifiedJanuary 23, 2021
✔ NPI 1013509033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 000226516
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
100 CAMBRIDGE ST STE 1400, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siedah Fagan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254827934
PECOS Enrollment IDI20251231003700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JAMIE OSGOOD WENDT NP
Nurse Practitioner (Family)
100 CAMBRIDGE ST STE 1400
BOSTON, MA 02114
Suffolk County (888) 731-8994
MEAGHAN GOORLEY FNP
Nurse Practitioner (Community Health)
100 CAMBRIDGE ST STE 1400
BOSTON, MA 02114
Suffolk County (888) 731-8994
CHRISTINE GAGGIN NP
Nurse Practitioner (Acute Care)
100 CAMBRIDGE ST STE 1400
BOSTON, MA 02114
Suffolk County (888) 731-8994
TREETOP THERAPY MA
Behavior Analyst
100 CAMBRIDGE ST STE 1400
BOSTON, MA 02114
Suffolk County (857) 321-8922
CAREGIVING MED SUPPLIES LLC
Durable Medical Equipment & Medical Supplies
100 CAMBRIDGE ST STE 1400
BOSTON, MA 02114
Suffolk County (713) 766-2796
ELEVATION HOMECARE AGENCY
In Home Supportive Care
100 CAMBRIDGE ST STE 1400
BOSTON, MA 02114
Suffolk County (857) 214-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siedah Fagan's NPI number?

The NPI number for Siedah Fagan is 1013509033. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Siedah Fagan located?

Siedah Fagan practices at 100 Cambridge St Ste 1400, Boston, MA 02114. The listed phone number is (617) 932-3813.

What is Siedah Fagan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Siedah Fagan enrolled in Medicare?

Yes. Siedah Fagan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Siedah Fagan was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.