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

MS. Alicia Mary Fagan, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629157615

MS. Alicia Mary Fagan, LCSW is a Clinical Social Worker in Southington, Connecticut. Qualified in 1977, 49 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
49
Licensed in
CT
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

51 N Main St Ste 2C
Southington, CT 06489
Phone: (860) 621-2280
Fax: (860) 628-0219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 000422 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 000618 (CT)

Record details

NPI number1629157615
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJanuary 6, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southington