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CASEY FAGAN LCSW
NPI 1114606639
Social Worker in Salt Lake City, UT

Active since July 12, 2023PECOS Enrolled
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104(801) 363-9414 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Jul 12, 2023 (2 updates tracked since 2023).

About Casey Fagan Lcsw NPPES

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

CASEY FAGAN LCSW (NPI 1114606639) is an individual social worker in Salt Lake City, Utah, licensed in Utah (13408629-3501) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114606639
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCASEY FAGANCredential: LCSW
Location Address1875 S REDWOOD RDSalt Lake City, UT 84104-5112
Mailing Address1875 S Redwood RdSalt Lake City, UT 84104-5112 · (801) 363-9414
Phone(801) 363-9414
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 12, 2023
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1114606639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in UT · 13408629-3501
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1875 S REDWOOD RD, Salt Lake City, UT 84104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8820585524
PECOS Enrollment IDI20251016000142
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.

Medicare Billing Reassignment

Medicare enrollment records show Casey Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Confederated Tribes Of The Goshute Reservation
4.2 mi
Clinic/Center
660 S 200 E, SUITE 250
Salt Lake City, UT 84111
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
NPI 1992141964 (801) 359-2256

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TEUILA SAVEA
Community Health Worker
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 363-9400
ATHENA SPLETT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 355-2846
EMILY MARIE DABROWSKI
Student in an Organized Health Care Education/Training Program
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 355-2846
SHAW AKUTSU DNP-PMHNP STUDENT
Registered Nurse
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 355-2846
MICHELE DAY
Community Health Worker
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 363-9400
CASEY SWIFT
Case Manager/Care Coordinator
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 628-4825
JOSIE WEST
Community Health Worker
1875 S REDWOOD RD
SLC, UT 84104
Salt Lake County (801) 363-9400
DESTINY SIVELS
Community Health Worker
1875 S REDWOOD RD
SLC, UT 84104
Salt Lake County (801) 363-9400

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 Casey Fagan's NPI number?

The NPI number for Casey Fagan is 1114606639. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Casey Fagan located?

Casey Fagan practices at 1875 S Redwood Rd, Salt Lake City, UT 84104. The listed phone number is (801) 363-9414.

What is Casey Fagan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Casey Fagan enrolled in Medicare?

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

Which organization bills Medicare for Casey Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Fagan reassigns Medicare benefits to Confederated Tribes Of The Goshute Reservation (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Fagan accept?

Health plans from Molina Healthcare list Casey Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casey Fagan was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.