Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa L Fagan-Clark, LCSW

Individual provider Clinical Social Worker · NPI 1154754943

Alyssa L Fagan-Clark, LCSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Neighborhood Outreach Access to Health, a 104-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

20440 N 27th Ave
Phoenix, AZ 85027-3240
Phone: (480) 882-4545
Fax: (602) 910-2949
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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 LCSW-21945 (AZ)

Record details

NPI number1154754943
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2013
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Neighborhood Outreach Access To Health — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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