Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Terese Fagan LCSW LLC

Organization Clinical Social Worker · NPI 1063962900

Terese Fagan LCSW LLC is a Clinical Social Worker in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 S Main St Ste 107
West Hartford, CT 06107-2441
Phone: (860) 778-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 008738 (CT)

Record details

NPI number1063962900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terese Ballet — Licensed Clinical Social Worker · (860) 778-3304
NPI enumeratedOctober 4, 2016
Last updated in NPPESOctober 4, 2016
Mailing address1131 Tolland Tpke, Unit 258, Manchester, CT 06042-1679

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