Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMMY M GAGNON MSW, LICSW
NPI 1013408681
Social Worker - Clinical in Mankato, MN

Q: What is Tammy Gagnon's NPI number?

The NPI number for Tammy Gagnon is 1013408681. It was assigned to this individual provider in the NPPES registry on May 19, 2018.

Q: What is Tammy Gagnon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Gagnon was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2018PECOS EnrolledAccepts Medicare Assignment

12 CIVIC CENTER PLZ STE 2116, MANKATO, MN 56001(507) 385-8774(507) 345-1895 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Dec 5, 2023, May 19, 2018 (3 updates tracked since 2018).

On this page

About Tammy M Gagnon Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY M GAGNON MSW, LICSW (NPI 1013408681) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (22386) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013408681

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTAMMY M GAGNONCredential: MSW, LICSW

Location Address12 CIVIC CENTER PLZ STE 2116Mankato, MN 56001-7789

Mailing Address12 Civic Center Plz Ste 2116Mankato, MN 56001-7789 · (507) 385-8774 · Fax (507) 345-1895

Phone(507) 385-8774

Fax(507) 345-1895

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 19, 2018

Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1013408681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 22386

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

12 CIVIC CENTER PLZ STE 2116, Mankato, MN 56001

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tammy M Gagnon Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628553708

PECOS Enrollment IDI20260326002121

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tammy Gagnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

House Of Hope, Inc.

25 mi

Rehabilitation, Substance Use Disorder

12 CIVIC CENTER PLAZA, SUITE 2116
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment

NPI 1881692192 (507) 385-8774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATHON JAMES EDWIN ROGGE

Counselor (Addiction (Substance Use Disorder))