Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE A FAGAN, LICSW
ActiveClinical Social Worker · DAYVILLE, CT
Registration Details
- NPI Number
- 1679839997
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2012 (14.057438532842 yrs)
- Last Updated
- Jun 8, 2017
- Licenses
-
LC50081357 (DC)1237 (CT)
Practice Information
- Address
-
1006 N MAIN STREETDAYVILLE, CT, 062412170Browse CT providers · Browse ZIP 06241
- Phone
- 8607742020
- Fax
- 8607795437
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DAYVILLE, CT
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA HENRIETTE BENVENISTE | MSW | 1619940301 |
| KERRI L GRIFFIN | MSW, LCSW | 1245273887 |
| MRS. SUSAN ELIZABETH SOARES | MSW | 1457387557 |
| MRS. TINA LEKACOS | MSW | 1437183985 |
| MS. JENNIFER MELISSA PARCINSKI | M.S.W. | 1891729448 |
| MICHAEL DENNIS PATOTA | — | 1568496933 |
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.