Individual provider · Type 1 NPI

Jessica M. Gagnon, LCSW

Clinical Social Worker · Groton, CT

NPI number 1194038174 Active

Practice location

428 Long Hill Rd Ste 201
Groton, CT 06340

Mailing address

428 Long Hill Rd # 201
Groton, CT 06340-3811

Other practice locations

  • 1007 N Main St, Dayville, CT 06241-2170 · (860) 456-2261

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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…

5 other providers at this address

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About NPI 1194038174

Jessica M. Gagnon, LCSW's National Provider Identifier is 1194038174, issued on Jul 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Groton, CT. The record was last updated on Aug 19, 2018.