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

Q: 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.

Q: What is Alyssa Fagan-clark's specialty?

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

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: August 16, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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)