Suzette M Fagan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05437500 Issued in NJ

Practice address

75 Lindsey CT
Franklin Park, NJ 08823-1531

Phone

(732) 789-9986

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ, CT, TX, DE, PA, SC, MI, NY8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 8

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Door 2 Door Therapy

  • Clinical Social Worker
  • Saddle Brook, NJ
  • NPI 1386234896

  CT, DE, MI, PA, SC

  Medicare reassignment NPD Authorized official
• Door 2 Door Therapy PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1104708114
  Medicare reassignment NPD Authorized official
• Door to Door Therapy LCSW PLLC

  • Clinical Social Worker
  • Albany, NY
  • NPI 1851240311
  Medicare reassignment NPD Authorized official
• Vicki Barnett Psy D PC

  • Psychoanalyst
  • Englewood, NJ
  • NPI 1447463971
  Medicare reassignment NPD

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1679879308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LINDSEY CT",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LINDSEY CT",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231531",
            "telephone_number": "732-789-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "SUZETTE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05437500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Dreamers
• Dr. Joanna Decowska DPT LLC
• Dungarvin New Jersey, LLC - Amethyst
• Dungarvin New Jersey, LLC-Lindsey
• Dina Eisa, PHARMD
• Sherly Firmin-Carrier
• Folak Healthcare LLC
• David Girgis, PHARM D.
• Godbridge Intergrated Care
• Armand Gonzales, OTR

• Clinical Social Worker in Franklin Park, NJ
• Providers in Franklin Park, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.