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

Carolyn Jean Fagnan, LCSW

Individual provider Clinical Social Worker · NPI 1124229158

Carolyn Jean Fagnan, LCSW is a Clinical Social Worker in Buffalo, New York. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

3495 Bailey Ave
Buffalo, NY 14215-1129
Phone: (716) 392-1910
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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 LCSW25492 (CA)

Record details

NPI number1124229158
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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