1. Home
  2. Directory
  3. California
  4. San Marino
  5. Social Worker
  6. NPI Profile

CAMILLE J FAGENSON L.C.S.W.
NPI 1689702466
Social Worker - Clinical in San Marino, CA

Active since March 01, 2007Opted out of Medicare · through Jul 1, 2027
2400 MISSION ST, SAN MARINO, CA 91108(626) 403-8999(626) 403-8989 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camille J Fagenson L.c.s.w. NPPES

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

CAMILLE J FAGENSON L.C.S.W. (NPI 1689702466) is an individual clinical provider in San Marino, California, licensed in California (LCS14489) and active in the NPI registry since March 2007. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689702466
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAMILLE J FAGENSONCredential: L.C.S.W.
Location Address2400 MISSION STSan Marino, CA 91108-1632
Mailing Address2400 Mission StSan Marino, CA 91108-1632 · (626) 403-8999 · Fax (626) 403-8989
Phone(626) 403-8999
Fax(626) 403-8989
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateNovember 26, 2007
✔ NPI 1689702466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS14489
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.
2400 MISSION ST, San Marino, CA 91108
Open in Google Maps ↗

Other Identifiers 2

Medicare PINSW14489CA
Medicare UPINR37655CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Camille J Fagenson L.c.s.w. 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 July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KAREN O GATES L.C.S.W.
Social Worker (Clinical)
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999
DR. TERRY ANN BISSELL M.D.
Psychiatry & Neurology (Psychiatry)
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999
SAN MARINO PSYCHIATRIC ASSOCIATES, INC.
Psychiatry & Neurology (Psychiatry)
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999
MARY JOY WON L.C.S.W.
Social Worker (Clinical)
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999
MS. LINDA M HILL MFT
Marriage & Family Therapist
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999
SAN MARINO PSYCHIATRIC HOSPITALISTS, INC
Psychiatric Hospital
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999
BARBARA L. JANETZKE, PHD
Psychologist (Clinical)
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 255-7512
DR. RYAN R COURDY M.D.
Psychiatry & Neurology (Psychiatry)
2400 MISSION ST
SAN MARINO, CA 91108
Los Angeles County (626) 403-8999

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 Camille Fagenson's NPI number?

The NPI number for Camille Fagenson is 1689702466. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Camille Fagenson located?

Camille Fagenson practices at 2400 Mission St, San Marino, CA 91108. The listed phone number is (626) 403-8999.

What is Camille Fagenson's specialty?

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

Is Camille Fagenson enrolled in Medicare?

No. Camille Fagenson has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Camille Fagenson was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.