National Provider Identifier
Carolyn Jean Fagnan, LCSW
Carolyn Jean Fagnan, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 392-1910.
Profile Overview
- NPI
- 1124229158
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 29, 2007
- Last Updated
- December 12, 2023
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 392-1910
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1124229158
- Entity Type
- Individual
- Last Name
- Fagnan
- First Name
- Carolyn
- Middle Name
- Jean
- Credential
- LCSW
- Mailing Street Address
- 3495 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Mailing Phone
- (716) 392-1910
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 392-1910
- Enumeration Date
- May 29, 2007
- Last Updated
- December 12, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)