Individual provider · Type 1 NPI

Tammy M. Gagnon, MSW, LICSW

Clinical Social Worker · Mankato, MN

NPI number 1013408681 Active

Practice location

12 Civic Center Plz Ste 2116
Mankato, MN 56001-7789

Call (507) 385-8774 Map

Fax (507) 345-1895

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22386 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1013408681

Tammy M. Gagnon, MSW, LICSW's National Provider Identifier is 1013408681, issued on May 19, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mankato, MN. The record was last updated on Sep 29, 2026.