ELIZABETH FAGAN (NPI# 1417558065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417558065 |
| Entity Type | Individual |
| Full Name | ELIZABETH FAGAN |
| Credential | LCSW |
| Practice Address | 108 E 91st St Apt 4c New York NY 10128-1659 |
| Practice Telephone | 9172083907 |
| Mailing Telephone | 9172083907 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker Specialization: Clinical | R038388 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922270537 | Elizabeth Anne Fagan | Speech-Language Pathologist | 985 Forest Ave, Portland, ME 04103-3303 | 2008-03-25 |
| 1295707156 | Elizabeth Fagan | Family Medicine | 12 Bank St Ste 201, Summit, NJ 07901-3661 | 2006-02-06 |
| 1275195026 | Elizabeth A Fagan | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-07-02 |
| 1457678096 | Elizabeth Fagan | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-21 |
| 1154332575 | Elizabeth Louise Fagan | Emergency Medicine | 5252 W University Dr, Mckinney, TX 75071-7822 | 2006-08-10 |
| Street Address | 108 E 91ST ST APT 4C |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568058691 | Eric Ratinetz | Social Worker | 37 W 12th St Apt 4h, New York, NY 10011-8541 | 2020-12-13 |
| 1407442627 | Elizabeth Trainor Koenigsberg | Social Worker | 201 W 70th St Apt 42k, New York, NY 10023-4386 | 2020-12-13 |
| 1164028635 | Lisa Ginsburg | Social Worker | 300 E 40th St Apt 17m, New York, NY 10016-2006 | 2020-12-09 |
| 1033715057 | Elisa Leimsider | Social Worker | 240 E 35th St Apt 4e, New York, NY 10016-4213 | 2020-12-06 |
| 1700481835 | Dana K Nadel Lcsw Pllc | Social Worker | 139 W 82nd St Apt 3gh, New York, NY 10024-5544 | 2020-12-04 |
| 1972107530 | Naomi Sue Mark | Social Worker | 915 W End Ave Apt 702, New York, NY 10025-3504 | 2020-11-24 |
| 1346843265 | Courtney Marie Karp | Social Worker | 685 Academy St Apt 42, New York, NY 10034-4221 | 2020-11-21 |
| 1851994107 | Anne York | Social Worker | 98 Morningside Ave Apt 63, New York, NY 10027-5143 | 2020-11-19 |
| 1356943211 | Jonathan Kutnick | Social Worker | 1385 York Ave Apt 17j, New York, NY 10021-3938 | 2020-11-14 |
| 1023610110 | Yiyao Ding | Social Worker | 226 W 26th St Fl 8ofc9, New York, NY 10001-6700 | 2020-11-12 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.