Ms. Alicia Mary Fagan is a Southington, Connecticut based counselor with 48 years of experience in Addiction (Substance Use Disorder) Counselor. She completed her graduation from Other in 1977. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Alicia Mary Fagan is 000422 for Addiction (Substance Use Disorder) Counselor in Connecticut. Her current practice location is 51 North Main Street, Ste 2c, Southington. Patients can book an appointment with her at 860-621-2280.
Ms. Alicia Mary Fagan is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Ms. Alicia Mary Fagan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ms. Alicia Mary Fagan
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
LCSW
Experience:
48+ years
Medical School Attended:
Other
Graduation Year:
1977
Accepts Medicare Assignment:
Yes
Practice Address:
51 North Main Street, Ste 2c, Southington, Connecticut, 06489
Phone:
860-621-2280
Fax:
860-628-0219
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9739339730
Enrollment ID:
I20121029000689
NPI Number:
1629157615
NPI Enumeration Date:
02 Nov, 2006
NPI Last Update On:
06 Jan, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Alicia Mary Fagan are as mentioned below.
License Number
Specialization
State
Status
000422
Addiction (Substance Use Disorder) Counselor
Connecticut
Primary
000618
Social Worker
Connecticut
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Alicia Mary Fagan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004149531
Medicaid
Connecticut
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
51 North Main Street, Ste 2c Southington, Connecticut
Zip:
06489
Phone Number:
860-621-2280
Fax Number:
860-628-0219
Patients can reach Ms. Alicia Mary Fagan at 51 North Main Street, Ste 2c, Southington, Connecticut or can call to book an appointment on 860-621-2280. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.