IndividualActive
Renee Fagan, MSW, LCSW
NPI 1467471029 · Clinical Social Worker · Pine Brook, NJ
Provider details
- NPI number
- 1467471029
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SC07498 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
328 Changebridge Rd # 200
Pine Brook, NJ 07058-9805
Phone: (201) 396-7129
Street-level locationGet directions
Mailing address
328 Changebridge Rd # 200
Pine Brook, NJ 07058-9805
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.