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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN CHARLES FAGAN, LICSW

Active Sole Proprietor

MR. KEVIN CHARLES FAGAN, LICSW is a Clinical Social Worker healthcare provider located in WARWICK, Rhode Island. NPI 1396891719 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WARWICK, RI

Registration Details

NPI Number
1396891719
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2007 (19.556470520055 yrs)
Last Updated
Jun 22, 2011
License
ISW01620 (RI)
Sole Proprietor
Yes

Practice Information

Address
931 JEFFERSON BLVD.
SUITE 2009
WARWICK, RI, 02886
Browse RI providers · Browse ZIP 02886
Phone
4019215400
Fax
4019215402
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WARWICK, RI

Name Credential NPI
BRENDA BULLINGER ISW 1033105499
MR. ROBERT D O'NEIL LICSW 1659360618
CHARLENE LEVEILLEE CSW 1083697551
MS. MELISSA PHELPS LICSW 1780640706
MR. BARRY RICHARD BROWN LICSW 1528018959
HELEN FRANCES SHEEHAN LICSW 1255381554
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.