Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLIFFORD RAYMOND FAGAN, LCSW CCM
Active Sole ProprietorMR. CLIFFORD RAYMOND FAGAN, LCSW CCM is a Clinical Social Worker healthcare provider located in IRVING, Texas. NPI 1053345553 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · IRVING, TX
Registration Details
- NPI Number
- 1053345553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.068591759583 yrs)
- Last Updated
- Feb 10, 2017
- License
-
31107 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 W AIRPORT FWYSTE 1100IRVING, TX, 750626312Browse TX providers · Browse ZIP 75062
- Phone
- 2147045879
- Fax
- 8889741492
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in IRVING, TX
| Name | Credential | NPI |
|---|---|---|
| ADRIENNE GARCIA-O'MALLEY | LCSW | 1043219504 |
| MARTHA ELLEN METARELIS | LCSW | 1558379719 |
| TRACI ALISIA PERRY | LCSW | 1215125497 |
| MS. ANNE A VIDACOVICH | LCSW | 1285867283 |
| MRS. AMY PATRICIA PRICE TRAHAN | LCSW | 1598036956 |
| MS. AMANDA STEVENSON MAXWELL | LCSW | 1245595594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.