Megan P Haag-Fisk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010406 Issued in CT

Practice address

254B Mill St # A3
Greenwich, CT 06830-5808

Phone

(646) 299-1395

NPI assigned

Mar 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mill Street Therapy, LLC

  • Clinical Social Worker
  • Greenwich, CT
  • NPI 1710565759
  NPD Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1295311363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PEMBERWICK RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315042",
            "telephone_number": "646-299-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MILL ST # A3",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305808",
            "telephone_number": "646-299-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG-FISK",
        "first_name": "MEGAN",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086174-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan@mhflcsw.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "254B Mill St # A3",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068305808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suma Gupta, APRN
• Ana Gurley, R.N
• Janet Guthrie, LCSW
• Rebecca C Gutman
• Emily Guttman, LCSW
• Stephanie Haen, LCSWR
• Sunny Joseph Haft, M.D.
• Carolyn J. Hahn, M.D.
• David K. Hahn, MD
• Jennifer Kissane Hake, DC

• Clinical Social Worker in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.