Casey Fagan, LCSW
NPI 1114606639ActiveIndividual· Social Worker· Salt Lake City, UT
Social Worker (LCSW) in Salt Lake City, Utah, licensed in UT, with an NPI issued in July 2023. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1114606639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jul 12, 2023 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 13408629-3501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (TX) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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