NICOLE FRANCES FAGONE LICSW
NPI 1245272798
Social Worker - Clinical in Andover, MA

Active since June 11, 2006Opted out of Medicare · through Nov 29, 2026
2 DUNDEE PARK DR, ANDOVER, MA 01810(617) 256-7616 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Frances Fagone Licsw NPPES

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

NICOLE FRANCES FAGONE LICSW (NPI 1245272798) is an individual clinical provider in Andover, Massachusetts, licensed in Massachusetts (124567) and active in the NPI registry since June 2006. She has opted out of Medicare through November 29, 2026.

NPPES Registry Identity

NPI1245272798
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE FRANCES FAGONECredential: LICSW
Location Address2 DUNDEE PARK DRAndover, MA 01810-3735
Mailing Address640 Andover StLowell, MA 01852-1532 · (617) 256-7616
Sole ProprietorNo
Enumeration DateJune 11, 2006
Last NPPES UpdateJune 23, 2023
NPPES CertifiedJune 23, 2023
NPI 1245272798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · 124567 Licensed in MA · 2032189
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.
2 DUNDEE PARK DR, Andover, MA 01810

Accepted 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 Frances Fagone Licsw 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 November 29, 2022 through November 29, 2026.

Opt-Out Effective DateNovember 29, 2022
Opt-Out In Effect ThroughNovember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
2 DUNDEE PARK DR
ANDOVER, MA 01810
Counselor (Mental Health)
2 DUNDEE PARK DR
ANDOVER, MA 01810
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
2 DUNDEE PARK DR, SUITE #303
ANDOVER, MA 01810
Chiropractor
2 DUNDEE PARK DR, SUITE 204
ANDOVER, MA 01810
Social Worker (Clinical)
2 DUNDEE PARK DR
ANDOVER, MA 01810
Social Worker (Clinical)
2 DUNDEE PARK DR
ANDOVER, MA 01810

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 Fagone's NPI number?

The NPI number for Nicole Fagone is 1245272798. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Nicole Fagone located?

Nicole Fagone practices at 2 Dundee Park Dr, Andover, MA 01810. The listed phone number is (617) 256-7616.

What is Nicole Fagone's specialty?

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

Is Nicole Fagone enrolled in Medicare?

No. Nicole Fagone has opted out of Medicare through November 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicole Fagone accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Nicole Fagone 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 Fagone was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.