IndividualActive
Alexandria Fagan, LMSW-CLINICAL
NPI 1992534085 · Clinical Social Worker · Jackson, MI
Provider details
- NPI number
- 1992534085
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW-CLINICAL
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6801108965 (MI)
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.