ALEXANDRIA FAGAN LMSW-CLINICAL
NPI 1992534085
Social Worker - Clinical in Jackson, MI

Q: What is Alexandria Fagan's NPI number?

The NPI number for Alexandria Fagan is 1992534085. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Q: What is Alexandria Fagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandria Fagan was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since July 29, 2024PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4519 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Aug 15, 2024, Jul 29, 2024 (3 updates tracked since 2024).

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About Alexandria Fagan Lmsw-clinical NPPES

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

ALEXANDRIA FAGAN LMSW-CLINICAL (NPI 1992534085) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6801108965) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1992534085

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALEXANDRIA FAGANCredential: LMSW-CLINICAL

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(517) 205-4519

Sole ProprietorYes

Enumeration DateJuly 29, 2024

Last NPPES UpdateMay 27, 20253 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1992534085 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 MI · 6801108965

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 6801108965 (MI)

205 N EAST AVE, Jackson, MI 49201

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Secondary Practice Location 1

Location 1180 W Michigan Ave Ste 802Jackson, MI 49201-1300 · Phone (517) 201-5790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Fagan Lmsw-clinical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alexandria Fagan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

A Fagan Counseling Services LLC

0.7 mi

Social Worker

180 W MICHIGAN AVE STE 802
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment

NPI 1881422277 (517) 201-5790

W.A. Foote Memorial Hospital

11 mi

General Acute Care Hospital

205 N EAST AVE
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
34 clinicians in this Medicare group

NPI 1053403402 (517) 205-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant