KERRY ANN FAGAN MSW NPI 1275698102

Social Worker (Clinical) in Auburn, MA

NPI 1275698102 Individual Female Social Worker Clinical

NPI Profile for KERRY ANN FAGAN MSW

Kerry Fagan is a provider established in Auburn, Massachusetts and her medical specialization is social worker (clinical) . The NPI number of Kerry Fagan is 1275698102 and was assigned on December 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 1021091 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

A clinical social worker like Kerry Ann Fagan Msw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Kerry Fagan is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1275698102

Provider Name KERRY ANN FAGAN MSW
Provider Location Address250 HAMPTON ST AUBURN, MA 01501
Provider Mailing Address250 HAMPTON ST AUBURN, MA 01501
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date12-22-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.1021091
License StateMA
Taxonomy DescriptionA 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.

Business Address

KERRY ANN FAGAN MSW
250 HAMPTON ST
AUBURN, MA
ZIP 01501
Phone: (508) 832-4101
Fax: (508) 842-4209

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Mailing Address

KERRY ANN FAGAN MSW
250 HAMPTON ST
AUBURN, MA
ZIP 01501
Phone: (508) 832-4101
Fax: (508) 842-4209



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P07611OTHER (01)MABLUE CROSS - BLUE SHIELD

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275698102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451291610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 9 + 1 + 6 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1275698102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447226659DR. DAVID E. WEINSTOCK DO
Individual
Internal Medicine250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1669448890MR. ANDREW F MORING P.A.
Individual
Physician Assistant (Medical)250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1174599211DR. JOHN E KELLY M.D.
Individual
Internal Medicine250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1841266848DR. DENNIS E MURPHY MD
Individual
Internal Medicine250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1790716199GROVE MEDICAL ASSOCIATES, PC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1467505495MRS. SUSAN M. MONTVILLE MSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1801942677MS. DORIS J WORCESTER LICSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 987-2005
1700920089MS. KATHRYN L DAVENPORT LICSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1750503058 SUSAN SMITH-SCOTT LICSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101
1811298052CMIPA FOUNDATION, INC.
Organization
Dietitian, Registered250 HAMPTON ST
AUBURN, MA 01501
(508) 438-1100
1790202885 HILARY MARIE DULIN SAUTA CNP
Individual
Nurse Practitioner250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1023605953 CALI PEFFER PA-C
Individual
Physician Assistant250 HAMPTON ST
AUBURN, MA 01501
(508) 753-2060
1528111556MR. THOMAS F. MONTVILLE MSW
Individual
Social Worker (Clinical)250 HAMPTON ST
AUBURN, MA 01501
(508) 832-4101

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Kerry Ann Fagan Msw is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.