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SUSAN WAVERLY GAGNON LICSW
NPI 1376553669
Social Worker - Clinical in Pittsfield, MA

Active since August 09, 2006
725 NORTH STREET, DEPT OF PSYCHIATRY, PITTSFIELD, MA 01201(413) 447-2655(413) 447-2656 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Waverly Gagnon Licsw NPPES

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

SUSAN WAVERLY GAGNON LICSW (NPI 1376553669) is an individual clinical provider in Pittsfield, Massachusetts, licensed in Massachusetts (105461) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1376553669
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN WAVERLY GAGNONCredential: LICSW
Location Address725 NORTH STREET, DEPT OF PSYCHIATRYPittsfield, MA 01201-8501
Mailing Address725 North Street, Dept Of PsychiatryPittsfield, MA 01201-8501 · (413) 447-2655 · Fax (413) 447-2656
Phone(413) 447-2655
Fax(413) 447-2656
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376553669 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 MA · 105461
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.
725 NORTH STREET, Pittsfield, MA 01201
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Other Identifiers 2

Medicaid1200143MA
Medicare ID-Type UnspecifiedP22951

Other Providers at the Same Location NPPES 20

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

KAREN ANNE MCNULTY LICSW
Social Worker (Clinical)
725 NORTH STREET, DEPT OF PSYCHIATRY
PITTSFIELD, MA 01201
Berkshire County (413) 447-2655
TALAL AHMAD MAKKAOUI MD
Anesthesiology
725 NORTH STREET, BERKSHIRE MEDICAL CENTER
PITTSFIELD, MA 01201
Berkshire County (413) 447-2555
MR. AUSTIN L LUSK DO
Surgery
725 NORTH STREET, DEPT. OF SURGERY WARRINER 3RD FLOOR
PITTSFIELD, MA 01201
Berkshire County (413) 464-1229
MICHAEL J MCHUGH M.D.
Emergency Medicine
725 NORTH STREET, BERKSHIRE MEDICAL CENTER
PITTSFIELD, MA 01201
Berkshire County (413) 447-2399
HAFSA ASHRAF
Student in an Organized Health Care Education/Training Program
725 NORTH STREET
PITTSFIELD, MA 01201
Berkshire County (413) 447-2839
DR. MARIANA CHAVEZ RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
725 NORTH STREET, DEPT. OF SURGERY WARRINER, 3RD FLOOR
PITTSFIELD, MA 01201
Berkshire County (413) 395-7916
YESENIA M. DRAKE DDS
Dentist (General Practice)
725 NORTH STREET, BERKSHIRE MEDICAL CENTER
PITTSFIELD, MA 01201
Berkshire County (413) 447-2781
CARL R HANSON DO
Student in an Organized Health Care Education/Training Program
725 NORTH STREET, DEPT. OF SURGERY WARRINER 3RD FLOOR
PITTSFIELD, MA 01201
Berkshire County (413) 395-7916

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 Susan Gagnon's NPI number?

The NPI number for Susan Gagnon is 1376553669. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Susan Gagnon located?

Susan Gagnon practices at 725 North Street Dept Of Psychiatry, Pittsfield, MA 01201. The listed phone number is (413) 447-2655.

What is Susan Gagnon's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Gagnon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.