Individual provider · Type 1 NPI

Judy Gagnon, MSW, LCSW

Clinical Social Worker · Springvale, ME

NPI number 1700450459 Active

Practice location

469 Main St Ste 308
Springvale, ME 04083-1872

Mailing address

64 Merchants Row
Lebanon, ME 04027-4305

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC22727 (ME)

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 1700450459

Judy Gagnon, MSW, LCSW's National Provider Identifier is 1700450459, issued on May 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springvale, ME. The record was last updated on Jan 15, 2024.