Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Terese Fagan LCSW LLC

Organization Clinical Social Worker · NPI 1063962900

Terese Fagan LCSW LLC provides Clinical Social Worker services in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 S Main St Ste 107
West Hartford, CT 06107-2441 Not confirmed with CMS for 10 years — call before visiting
Phone: (860) 778-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 008738 (CT)

Record details

NPI number1063962900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terese Ballet — Licensed Clinical Social Worker · (860) 778-3304
NPI enumeratedOctober 4, 2016
Last updated in NPPESOctober 4, 2016
Mailing address1131 Tolland Tpke, Unit 258, Manchester, CT 06042-1679

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