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

Individual provider Clinical Social Worker · NPI 1063837540

Jessica Fagan, LICSW is a Clinical Social Worker in Bellingham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2014
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

24 Fox Run Rd
Bellingham, MA 02019-2905
Phone: (508) 296-4277
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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 1130803 (MA)

Record details

NPI number1063837540
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 20, 2014
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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