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

Angela Marie Fagnant

Individual provider Clinical Social Worker · NPI 1851081830

Angela Marie Fagnant is a Clinical Social Worker in Roosevelt, Utah. Qualified in 2023, 3 years ago. Practices with Uintah Basin Tri-County Mental Health and Substance Abuse Local Author, an 18-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

285 W 800 S
Roosevelt, UT 84066-3707
Phone: (435) 725-6300
Fax: (435) 725-6325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1851081830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Uintah Basin Tri-County Mental Health And Substance Abuse Local Author — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roosevelt