Terese Fagan Lcsw Llc

Clinical Social Worker · West Hartford, CT

Call (860) 778-3304 Directions

At a glance

45 S Main St, West Hartford, CT 06107-2441

NPPES record updated Oct 4, 2016. Public records can lag behind changes at a practice.

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Practice location

45 S Main St Suite 107
West Hartford, CT 06107-2441

Professional details: NPI, taxonomy & registry record

NPI1063962900

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Oct 4, 2016
Record updated: Oct 4, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: 008738 CT

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

45 S Main St
Suite 107
West Hartford, CT 06107-2441

Phone: (860) 778-3304

Mailing address

1131 TOLLAND TPKE
UNIT 258
MANCHESTER, CT 060421679

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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