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MRS. STEPHANIE THERESA GAGNON LCSW
NPI 1063530145
Social Worker - Clinical in Norfolk, VA

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
821 W 21ST ST STE 209, NORFOLK, VA 23517(757) 280-1777(757) 585-3521 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2023, Feb 4, 2020 (2 updates tracked since 2020).

About Mrs. Stephanie Theresa Gagnon Lcsw NPPES

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

MRS. STEPHANIE THERESA GAGNON LCSW (NPI 1063530145) is an individual clinical provider in Norfolk, Virginia, licensed in Virginia (0904003494) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1063530145
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STEPHANIE THERESA GAGNONCredential: LCSW
Location Address821 W 21ST ST STE 209Norfolk, VA 23517-1500
Mailing Address1833 Gershwin DrVirginia Beach, VA 23454-6768 · (757) 646-4140 · Fax (757) 585-3521
Phone(757) 280-1777
Fax(757) 585-3521
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 27, 2007
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1063530145 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 VA · 0904003494
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.
821 W 21ST ST STE 209, Norfolk, VA 23517
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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

Mrs. Stephanie Theresa Gagnon Lcsw 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 ID446688170
PECOS Enrollment IDI20200312000158
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 Stephanie Gagnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bold Ruler, LLC
Same address
Professional
821 W 21ST ST STE 209
Norfolk, VA 23517
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
NPI 1316404544 (757) 280-1777

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 23517 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 5

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

BOLD RULER, LLC
Counselor (Professional)
821 W 21ST ST STE 209
NORFOLK, VA 23517
Norfolk City (757) 280-1777
MISS ELEANOR KAI LAMPELL LPC, ATR
Counselor (Professional)
821 W 21ST ST STE 209
NORFOLK, VA 23517
Norfolk City (757) 280-1777
MELISSA MARY SYKES LPC, CSAC, ATR
Counselor (Professional)
821 W 21ST ST STE 209
NORFOLK, VA 23517
Norfolk City (757) 578-5493
STACEY S SMITH LCSW
Social Worker (Clinical)
821 W 21ST ST STE 209
NORFOLK, VA 23517
Norfolk City (757) 625-5598
MS. LAURA SILZLE MALONEY ATR-BC, LPC, LMFT
Counselor (Professional)
821 W 21ST ST STE 209
NORFOLK, VA 23517
Norfolk City (757) 472-1379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Gagnon's NPI number?

The NPI number for Stephanie Gagnon is 1063530145. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Stephanie Gagnon located?

Stephanie Gagnon practices at 821 W 21st St Ste 209, Norfolk, VA 23517. The listed phone number is (757) 280-1777.

What is Stephanie Gagnon's specialty?

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

Is Stephanie Gagnon enrolled in Medicare?

Yes. Stephanie Gagnon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephanie Gagnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Gagnon reassigns Medicare benefits to Bold Ruler, LLC (Norfolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Gagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Gagnon was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.