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

Elizabeth Fagan, LCSW

Individual provider Clinical Social Worker · NPI 1417558065

Elizabeth Fagan, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

108 E 91st St Apt 4C
New York, NY 10128-1659
Phone: (917) 208-3907
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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 R038388 (NY)

Record details

NPI number1417558065
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

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