1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Social Worker
  6. NPI Profile

ALYSSA L FAGAN-CLARK LCSW
NPI 1154754943
Social Worker - Clinical in Phoenix, AZ

Active since August 15, 2013PECOS EnrolledAccepts Medicare Assignment
20440 N 27TH AVE, PHOENIX, AZ 85027(480) 882-4545(602) 910-2949 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa L Fagan-clark Lcsw NPPES

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

ALYSSA L FAGAN-CLARK LCSW (NPI 1154754943) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-21945) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1154754943
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALYSSA L FAGAN-CLARKCredential: LCSW
Location Address20440 N 27TH AVEPhoenix, AZ 85027-3240
Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 886-2454 · Fax (602) 409-0499
Phone(480) 882-4545
Fax(602) 910-2949
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 15, 2013
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1154754943 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 AZ · LCSW-21945
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.
20440 N 27TH AVE, Phoenix, AZ 85027
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa L Fagan-clark Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901249713
PECOS Enrollment IDI20240208003040
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 Alyssa Fagan-clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Outreach Access To Health
6.2 mi
Federally Qualified Health Center (FQHC)
11851 N 51ST AVE STE B110
Glendale, AZ 85304
  • Reassigned Medicare billing, Arizona enrollment
  • 119 clinicians in this Medicare group
NPI 1629515218 (480) 882-4545

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

NANETTE M KLAUS LPC
Counselor (Mental Health)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
DR. MELISSA MOLYNEUX MD
Family Medicine
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
LESE LACKEY LPC
Counselor (Professional)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
SARAH HUBER FNP
Nurse Practitioner (Family)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
CARLA BOAN PA-C
Physician Assistant
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
DR. GEORGINA A ADJEI MD
Family Medicine
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
GRACEANNE CAREW FNP-C
Nurse Practitioner (Family)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545
MRS. ERICA MURPHY DNP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20440 N 27TH AVE
PHOENIX, AZ 85027
Maricopa County (480) 882-4545

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 Alyssa Fagan-clark's NPI number?

The NPI number for Alyssa Fagan-clark is 1154754943. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Alyssa Fagan-clark located?

Alyssa Fagan-clark practices at 20440 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (480) 882-4545.

What is Alyssa Fagan-clark's specialty?

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

Is Alyssa Fagan-clark enrolled in Medicare?

Yes. Alyssa Fagan-clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alyssa Fagan-clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Fagan-clark reassigns Medicare benefits to Neighborhood Outreach Access To Health (Glendale, AZ). 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 Alyssa Fagan-clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Fagan-clark accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Alyssa Fagan-clark 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 Alyssa Fagan-clark was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.