Individual provider · Type 1 NPI
Susan Waverly Gagnon, LICSW
Clinical Social Worker · Pittsfield, MA
Practice location
725 North Street, Dept Of Psychiatry
Pittsfield, MA 01201-8501
Fax (413) 447-2656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 105461 (MA) |
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 1376553669
Susan Waverly Gagnon, LICSW's National Provider Identifier is 1376553669, issued on Aug 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pittsfield, MA. The record was last updated on Jul 8, 2007.