NICOLE FAGAN LCSW
NPI 1164793196
Social Worker - Clinical in Poughkeepsie, NY

Q: What is Nicole Fagan's NPI number?

The NPI number for Nicole Fagan is 1164793196. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Q: What is Nicole Fagan's specialty?

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

Q: Is Nicole Fagan enrolled in Medicare?

No. Nicole Fagan has opted out of Medicare through September 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicole Fagan was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 23, 2012Opted out of Medicare · through Sep 9, 2027

2096 NEW HACKENSACK RD, POUGHKEEPSIE, NY 12603(845) 518-2558(845) 473-2448 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Nicole Fagan Lcsw NPPES

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

NICOLE FAGAN LCSW (NPI 1164793196) is an individual clinical provider in Poughkeepsie, New York, licensed in New York (077038-1) and active in the NPI registry since January 2012. She has opted out of Medicare through September 9, 2027.

NPPES Registry Identity

NPI1164793196

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE FAGANCredential: LCSW

Location Address2096 NEW HACKENSACK RDPoughkeepsie, NY 12603-4856

Mailing Address2096 New Hackensack RdPoughkeepsie, NY 12603-4856 · (845) 518-2558 · Fax (845) 473-2448

Phone(845) 518-2558

Fax(845) 473-2448

Sole ProprietorYes

Enumeration DateJanuary 23, 2012

✔ NPI 1164793196 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 NY · 077038-1

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.

2096 NEW HACKENSACK RD, Poughkeepsie, NY 12603

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Fagan Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 9, 2025 through September 9, 2027.

Opt-Out Effective DateSeptember 9, 2025

Opt-Out In Effect ThroughSeptember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. KENNETH SHAWN FRANCIS TURNER D.C.

Chiropractor

2096 NEW HACKENSACK RD
POUGHKEEPSIE, NY 12603

Dutchess County (845) 473-4700

TURNER CHIROPRACTIC, PLLC

Chiropractor

2096 NEW HACKENSACK RD
POUGHKEEPSIE, NY 12603

Dutchess County (845) 473-4700

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 Nicole Fagan's NPI number?

The NPI number for Nicole Fagan is 1164793196. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Nicole Fagan located?

Nicole Fagan practices at 2096 New Hackensack Rd, Poughkeepsie, NY 12603. The listed phone number is (845) 518-2558.

What is Nicole Fagan's specialty?

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

Is Nicole Fagan enrolled in Medicare?

No. Nicole Fagan has opted out of Medicare through September 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicole Fagan accept?

Health plans from Providence Health Plan list Nicole 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 Nicole Fagan was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.