SIEDAH FAGAN (NPI# 1013509033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013509033 |
| Entity Type | Individual |
| Full Name | SIEDAH FAGAN |
| Gender | Female |
| Practice Address | 100 Cambridge St Ste 1400 Boston MA 02114-2545 |
| Practice Telephone | 6179323813 |
| Mailing Address | Po Box 326 Stoughton MA 02072-0326 |
| Certification Date | 2021-01-23 |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker Specialization: Clinical | 000226516 | MA | Behavioral Health & Social Service Providers |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | siedah@forestcounseling.net (email) | 100 Cambridge St Ste 1400, Boston, MA 021142545 | Direct | CSV |
| Street Address | 100 CAMBRIDGE ST STE 1400 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552177 | Treetop Therapy Ma · Treetop Therapy Ma LLC | Assistant Behavior Analyst | 100 Cambridge St Ste 1400, Boston, MA 02114-2545 | 2020-09-09 |
| 1013526623 | Madeline Lydon | Counselor | 100 Cambridge St Ste 1400, Boston, MA 02114-2545 | 2020-07-29 |
| 1609368505 | Elevation Homecare Agency | In Home Supportive Care | 100 Cambridge St Ste 1400, Boston, MA 02114-2545 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780279307 | Charles Nhan | Student in an Organized Health Care Education/Training Program | 55 Fruit St, White Bldg, Rm 270, Boston, MA 02114 | 2021-03-05 |
| 1558952374 | Chenhan David Wang | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Boston, MA 02114 | 2021-02-03 |
| 1245833821 | Elisaveta Dedo | Pharmacist | 155-157 Charles Street, Boston, MA 02114 | 2020-11-17 |
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1669097275 | Zain Sharif | Internal Medicine · Clinical Cardiac Electrophysiology | 55 Fruit St, Boston, MA 02114 | 2020-06-09 |
| 1669095923 | Erin Crocker | Physician Assistant | 55 Fruit Street, White 1, Boston, MA 02114 | 2020-05-21 |
| 1154943157 | Maryam Khalil Ibrahim | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114 | 2020-05-12 |
| 1407476807 | Emily Axel | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Blk 1500, Boston, MA 02114 | 2020-04-26 |
| 1376163816 | Amine Mohamed Marc Awad | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Internal Medicine Residency Program Manager, Gary Bigel, Boston, MA 02114 | 2020-04-24 |
| 1497375075 | Daniela Herrera Ceballos | Physician Assistant | 55 Fruit St., Blk 1500, Boston, MA 02114 | 2020-04-23 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033704655 | Bette Bohlke O'Gara | 206 Minot St # 304, Boston, MA 02122-2039 | 2021-03-05 | |
| 1710571997 | Cultivate Calm LLC | 87 White St, Boston, MA 02128-1340 | 2021-02-27 | |
| 1306439450 | Savaughn Dickerson | 850 Harrison Ave, Boston, MA 02118-4001 | 2021-02-18 | |
| 1487247615 | Kelsey Yacura | 1153 Centre St, Boston, MA 02130-3446 | 2021-02-18 | |
| 1073106852 | Shannon Rose | 850 Harrison Ave # Dowling7, Boston, MA 02118-4001 | 2021-02-12 | |
| 1144813981 | Vanessa R Allen | 330 Brookline Ave, Boston, MA 02215-5400 | 2021-02-12 | |
| 1215520044 | Carlos Echevarria | 780 Albany St, Boston, MA 02118-2755 | 2021-02-12 | |
| 1851984751 | Bridget Sakowski | 850 Harrison Ave Fl 7, Boston, MA 02118-4001 | 2021-02-11 | |
| 1508457615 | Jordan Reinwald | 330 Brookline Ave, Boston, MA 02215-5400 | 2021-02-01 | |
| 1013508670 | Rebecca Frances Eisenberg | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2021-01-27 | |
| Find all providers in BOSTON | ||||
| City | BOSTON |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174757991 | Fagan Center for Communicaton LLC · Elizabeth Fagan | Speech-Language Pathologist | 985 Forest Ave, Portland, ME 04103-3303 | 2009-05-07 |
| 1902361116 | Paul Fagan · River Fagan | Counselor · Mental Health | 4531 Se Belmont St Ste 314, Portland, OR 97215-1693 | 2019-02-01 |
| 1770740482 | Fagan LLC · Fagan Sports Medicine | Prosthetic/Orthotic Supplier | 3125 Independence Dr, Suite 300a, Birmingham, AL 35209-4159 | 2008-05-20 |
| 1801922463 | Maurice J Fagan IIi · M. James Fagan IIi | Dentist · General Practice | 5555 Peachtree Dunwoody Rd Ne, Suite 140, Atlanta, GA 30342-1703 | 2007-02-26 |
| 1396258414 | Margaret L. Fagan · Martie L. Fagan | Counselor · Mental Health | 7 S Water St Ste A, Henderson, NV 89015-7250 | 2017-11-10 |
| 1962679456 | Kathryn Fagan Kanzer · Kathryn Jean Fagan | Speech-Language Pathologist | 241 Golf Mill Ctr, Suite 201, Niles, IL 60714-1224 | 2008-05-13 |
| 1619129921 | Dr. John E. Fagan, Optometrist, Inc. · Dr. John E. Fagan | Clinic/Center · Corporate Health | 20231 W Valley Blvd, Suite G, Tehachapi, CA 93561-6865 | 2008-10-17 |
| 1235393364 | Victoria Fagan Park · Victoria Ann Fagan | Registered Nurse | 6400 Prospect Ave, Ste 310, Kansas City, MO 64132-1100 | 2008-07-17 |
| 1114453859 | Siedah Long | Physical Therapy Assistant | 1860 Brookwood Ave, Burlington, NC 27215-3200 | 2017-05-01 |
| 1326428764 | Siedah Austin | Speech-Language Pathologist | 4836 Chastain Dr, Jackson, MS 39206-5062 | 2015-06-01 |
Please provide details on SIEDAH FAGAN by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.