TERESE FAGAN LCSW LLC
NPI 1063962900
Social Worker - Clinical in West Hartford, CT

Active since October 04, 2016
45 S MAIN ST, SUITE 107, WEST HARTFORD, CT 06107(860) 778-3304 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Social Worker
  • Clinical

About TERESE FAGAN LCSW LLC

This page provides the complete NPI Profile along with additional information for Terese Fagan Lcsw Llc, a provider established in West Hartford, Connecticut operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1063962900 assigned on October 2016. The practitioner's primary taxonomy code is 1041C0700X with license number 008738 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Terese Ballet (Licensed Clinical Social Worker)

NPI
1063962900 Verify this NPI
Provider Name
TERESE FAGAN LCSW LLC
Entity Type
Organization
Location Address
45 S MAIN ST SUITE 107 WEST HARTFORD, CT 06107
Location Phone
(860) 778-3304
Mailing Address
1131 TOLLAND TPKE UNIT 258 MANCHESTER, CT 06042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2016
Last Update Date
10-04-2016
Code Navigator

A clinical social worker like Terese Fagan Lcsw Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
008738
License State
CT
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERESE BALLET

Authorized Official Title
LICENSED CLINICAL SOCIAL WORKER
Authorized Official Phone
(860) 778-3304

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
45 S MAIN ST
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST, SUITE 102
WEST HARTFORD, CT 06107
Physical Therapist
45 S MAIN ST, SUITE 100
WEST HARTFORD, CT 06107
Optometrist
45 S MAIN ST, SUITE 111
WEST HARTFORD, CT 06107
Massage Therapist
45 S MAIN ST
WEST HARTFORD, CT 06107
Massage Therapist
45 S MAIN ST
WEST HARTFORD, CT 06107
Marriage & Family Therapist
45 S MAIN ST, 208
WEST HARTFORD, CT 06107
Internal Medicine
45 S MAIN ST, SUITE 203
WEST HARTFORD, CT 06107
Family Medicine
45 S MAIN ST, SUITE 212
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST
WEST HARTFORD, CT 06107
Community/Behavioral Health
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Social Worker (Clinical)
45 S MAIN ST
WEST HARTFORD, CT 06107
Counselor (Professional)
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Community/Behavioral Health
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Clinic/Center (Mental Health (Including Community Mental Health Center))
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Psychologist
45 S MAIN ST, SUITE 110
WEST HARTFORD, CT 06107
Ophthalmology
45 S MAIN ST, SUITE 111
WEST HARTFORD, CT 06107
Acupuncturist
45 S MAIN ST, SUITE 206
WEST HARTFORD, CT 06107
Counselor (Professional)
45 S MAIN ST, STE 107
WEST HARTFORD, CT 06107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063962900, enumerated as an "organization" on October 04, 2016.

The provider is located at 45 S MAIN ST SUITE 107 WEST HARTFORD, CT 06107 and the phone number is (860) 778-3304.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.