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MARK GAGNON MSW, LICSW, LADC
NPI 1073822946
Social Worker - Clinical in Glens Falls, NY

Active since September 27, 2010PECOS EnrolledAccepts Medicare Assignment
206 GLEN ST, GLENS FALLS, NY 12801(518) 321-5592 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Gagnon Msw, Licsw, Ladc NPPES

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

MARK GAGNON MSW, LICSW, LADC (NPI 1073822946) is an individual clinical provider in Glens Falls, New York, licensed in New York (083553) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1073822946
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK GAGNONCredential: MSW, LICSW, LADC
Location Address206 GLEN STGlens Falls, NY 12801-3584
Mailing AddressPo Box 612Saratoga Springs, NY 12866-0612 · (518) 321-5592
Phone(518) 321-5592
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 27, 2010
Last NPPES UpdateOctober 5, 2015
✔ NPI 1073822946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 083553✔ Licensed in VT · 0890054418
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 000534 (VT)
206 GLEN ST, Glens Falls, NY 12801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Gagnon Msw, Licsw, Ladc 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 ID9739303876
PECOS Enrollment IDI20151027000466
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 3

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

MR. ADAM M WILLIS P.T.
Physical Therapist
206 GLEN ST, SUITE #52
GLENS FALLS, NY 12801
Warren County (518) 538-8778
DR. RACHEL ANN REED DC
Chiropractor
206 GLEN ST, SUITE 21
GLENS FALLS, NY 12801
Warren County (518) 409-4259
ELIZABETH DUNKLEY PT, DPT
Physical Therapist
206 GLEN ST, SUITE #52
GLENS FALLS, NY 12801
Warren County (518) 538-8778

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 Mark Gagnon's NPI number?

The NPI number for Mark Gagnon is 1073822946. It was assigned to this individual provider in the NPPES registry on September 27, 2010.

Where is Mark Gagnon located?

Mark Gagnon practices at 206 Glen St, Glens Falls, NY 12801. The listed phone number is (518) 321-5592.

What is Mark Gagnon's specialty?

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

Is Mark Gagnon enrolled in Medicare?

Yes. Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Gagnon was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.