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

Nicole Fagan, LCSW

Individual provider Clinical Social Worker · NPI 1164793196

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

Licensed in
NY
In the registry since
2012
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

2096 New Hackensack Rd
Poughkeepsie, NY 12603-4856
Phone: (845) 518-2558
Fax: (845) 473-2448
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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 077038-1 (NY)

Record details

NPI number1164793196
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 23, 2012
Last updated in NPPESJanuary 23, 2012

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