Sophia Fagan

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1285 Scard Rd
Wallingford, CT 06492-2719

Phone

(203) 214-1664

NPI assigned

Aug 25, 2026

Last updated

Aug 25, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1922915149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 SCARD RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 SCARD RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922719",
            "telephone_number": "203-214-1664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060532539",
            "country_code": "US",
            "telephone_number": "203-214-1664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Nicole Evanovich, PT, DPT, ATC
• Vanessa Joyce Matuod Evardone, M.D.
• Evolve Counseling & Consultationllc
• Eye & Vision Clinic
• Eye Health Professionals, P.C.
• Susan Fagan
• Susan Michelle Fagan, LCSW
• Deborah B Fahs, APRN
• Family Practice of Greater New Haven, LLC
• James B Fanning Jr., M.D.

• Social Worker in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.