IndividualActive
Alicia Fagan, LCSW
NPI 1629157615 · Addiction (Substance Use Disorder) Counselor · Southington, CT
Provider details
- NPI number
- 1629157615
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 000422 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
51 North Main Street
Ste 2c
Southington, CT 06489
Phone: (860) 621-2280
Fax: (860) 628-0219
Approximate (ZIP-level) locationGet directions
Mailing address
51 North Main Street
Southington, CT 06489
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2012-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.