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

Casey Fagan, LCSW

Individual provider Social Worker · NPI 1114606639

Casey Fagan, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Confederated Tribes of the Goshute Reservation, a 60-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
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

1875 S Redwood Rd
Salt Lake City, UT 84104-5112
Phone: (801) 363-9414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13408629-3501 (UT)

Record details

NPI number1114606639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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 Confederated Tribes Of The Goshute Reservation — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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