Janet M Fagan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14304 Issued in CA

Practice address

VA San Diego 3350 la Jolla Village Drive
Social Work Service
San Diego, CA 92010

Phone

(858) 642-3597

Fax

(858) 552-7455

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073537726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 VIA ROJO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920101376",
            "telephone_number": "760-333-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA SAN DIEGO 3350 LA JOLLA VILLAGE DRIVE",
            "address_2": "SOCIAL WORK SERVICE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92010",
            "telephone_number": "858-642-3597",
            "fax_number": "858-552-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "JANET",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Diega Faddis, SUDCC II
• Sameerah Abdo Fadel
• Anna Fadem, MFTI
• Nancy Fader, MFT
• Brian T Fagan, M.D.
• Marie Louise Fagan, IDC
• Philip Fagan III, MD
• Sara Kathleen Fagan, PA-C
• Sherilyn Lydia Fagan
• Daniel H Fagerson, M.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.