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

Individual provider Clinical Social Worker · NPI 1376689331

Justin S Egan, LCSW is a Clinical Social Worker in Waterbury, Connecticut. Qualified in 2003, 23 years ago. Practices with State of Connecticut, a 267-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
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

55 W Main Street Western Connecticut Mental Health Network Ste 410
Waterbury, CT 06702
Phone: (203) 805-6408
Fax: (203) 805-6432
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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 006386 (CT)

Record details

NPI number1376689331
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice State Of Connecticut — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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