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

Active since June 11, 2006
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: July 19, 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.Information from the official NPPES registry record, last updated June 23, 2023.

NPPES Registry Identity

NPI1245272798
Entity TypeIndividualFemale
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. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

Licensed in MA · 124567 Licensed in MA · 2032189

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… Show more

2 DUNDEE PARK DR, Andover, MA 01810

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-29-2022

  • Opt-Out End Date: 11-29-2026

  • Eligible to Order and Refer? No

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245272798, enumerated as an "individual" on June 11, 2006.

The provider is located at 2 DUNDEE PARK DR ANDOVER, MA 01810 and the phone number is (617) 256-7616.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.