Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mr. Kevin Charles Fagan, LICSW

Individual provider Clinical Social Worker · NPI 1396891719

Mr. Kevin Charles Fagan, LICSW is a Clinical Social Worker in Warwick, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

931 Jefferson Blvd Ste 2009
Warwick, RI 02886 Not confirmed with CMS for 15 years — call before visiting
Phone: (401) 921-5400
Fax: (401) 921-5402
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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 ISW01620 (RI)

Record details

NPI number1396891719
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJune 22, 2011

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