STEPHANIE A FAGAN LICSW
NPI 1679839997
Social Worker - Clinical in Dayville, CT

Active since April 11, 2012
1006 N MAIN STREET, DAYVILLE, CT 06241(860) 774-2020(860) 779-5437 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie A Fagan Licsw NPPES

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

STEPHANIE A FAGAN LICSW (NPI 1679839997) is an individual clinical provider in Dayville, Connecticut, licensed in Connecticut (1237) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1679839997
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE A FAGANCredential: LICSW
Location Address1006 N MAIN STREETDayville, CT 06241-2170
Mailing Address4115 Wisconsin Ave Nw, Apt. 501Washington, DC 20016 · (347) 254-4668
Fax(860) 779-5437
Sole ProprietorNo
Enumeration DateApril 11, 2012
Last NPPES UpdateJune 8, 2017
NPI 1679839997 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 CT · 1237 Licensed in DC · LC50081357
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.
1006 N MAIN STREET, Dayville, CT 06241

Other Identifiers 1

Medicaid004040564CT

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 Stephanie Fagan's NPI number?

The NPI number for Stephanie Fagan is 1679839997. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Stephanie Fagan located?

Stephanie Fagan practices at 1006 N Main Street, Dayville, CT 06241. The listed phone number is (860) 774-2020.

What is Stephanie 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 Stephanie Fagan was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.