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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: August 09, 2026.

About Terese Fagan Lcsw Llc NPPES

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

TERESE FAGAN LCSW LLC (NPI 1063962900) is a healthcare organization registered as a clinical in West Hartford, Connecticut and active in the NPI registry since October 2016. The organization lists Terese Ballet, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1063962900
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTERESE FAGAN LCSW LLC
Location Address45 S MAIN ST, SUITE 107West Hartford, CT 06107-2441
Mailing Address1131 Tolland Tpke, Unit 258Manchester, CT 06042-1679
Phone(860) 778-3304
Organization SubpartNo
Authorized OfficialTerese BalletLicensed Clinical Social Worker · (860) 778-3304
Enumeration DateOctober 4, 2016
✔ NPI 1063962900 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 CT · 008738
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.
45 S MAIN ST, West Hartford, CT 06107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

WEST HARTFORD MASSAGE CLINIC, LLC
Massage Therapist
45 S MAIN ST
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 756-5560
HOLLIE BARKOFF LCSW, LLC
Community/Behavioral Health
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 463-4243
JACQUELINE BANASIEWICZ LPC
Counselor (Professional)
45 S MAIN ST
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 414-4245
TERESE FAGAN LCSW
Social Worker (Clinical)
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 778-3304
STRENGTH AND BALANCE, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 402-0066
DANIEL J MILLSTEIN LCSW, JD
Social Worker (Clinical)
45 S MAIN ST
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 803-1131
MRS. MUJEEB KHALIQUE M.D.
Psychologist (Clinical Child & Adolescent)
45 S MAIN ST
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 763-7008
HEALING WITH HOPE, LLC
Counselor (Professional)
45 S MAIN ST, SUITE 107
WEST HARTFORD, CT 06107
Capitol Planning Region (978) 879-9794

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 Terese Fagan Lcsw LLC's NPI number?

The NPI number for Terese Fagan Lcsw LLC is 1063962900. It was assigned to this organization in the NPPES registry on October 4, 2016.

Where is Terese Fagan Lcsw LLC located?

Terese Fagan Lcsw LLC is located at 45 S Main St Suite 107, West Hartford, CT 06107. The listed phone number is (860) 778-3304.

What is Terese Fagan Lcsw LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Terese Fagan Lcsw LLC was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.