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

Eilis M Fagan, LCSW

Individual provider Social Worker · NPI 1659918571

Eilis M Fagan, LCSW is a Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
Specialties on file
2
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

5646 N Wayne Ave Apt 3
Chicago, IL 60660-0090
Phone: (708) 408-4003
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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 149.023436 (IL)
Social Worker Taxonomy 104100000X · Licence 150104048 (IL)

Record details

NPI number1659918571
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

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