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EILIS M FAGAN LCSW
NPI 1659918571
Social Worker - Clinical in Chicago, IL

Active since December 10, 2019
5646 N WAYNE AVE APT 3, CHICAGO, IL 60660(708) 408-4003 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Jul 12, 2021, Jul 6, 2020 and 1 more (4 updates tracked since 2019).

About Eilis M Fagan Lcsw NPPES

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

EILIS M FAGAN LCSW (NPI 1659918571) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.023436) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1659918571
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEILIS M FAGANCredential: LCSW
Location Address5646 N WAYNE AVE APT 3Chicago, IL 60660-0090
Mailing Address5646 N Wayne Ave Apt 3Chicago, IL 60660-0090 · (708) 408-4003
Phone(708) 408-4003
Sole ProprietorNo
Enumeration DateDecember 10, 2019
Last NPPES UpdateJune 9, 20234 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1659918571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.023436
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 150104048 (IL)
5646 N WAYNE AVE APT 3, Chicago, IL 60660
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Other Providers at the Same Location NPPES

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

EILIS M. FAGAN, LCSW PLLC
Social Worker (Clinical)
5646 N WAYNE AVE APT 3
CHICAGO, IL 60660
Cook County (708) 408-4003

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 Eilis Fagan's NPI number?

The NPI number for Eilis Fagan is 1659918571. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Eilis Fagan located?

Eilis Fagan practices at 5646 N Wayne Ave Apt 3, Chicago, IL 60660. The listed phone number is (708) 408-4003.

What is Eilis Fagan's specialty?

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

When was this NPI record last updated?

The NPPES record for Eilis Fagan was last updated on June 9, 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.