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NICOLE GAGNON
NPI 1578932158
Social Worker - Clinical in Willimantic, CT

Active since September 24, 2015PECOS Enrolled
134 CHURCH ST, WILLIMANTIC, CT 06226(860) 450-7130(860) 963-4979 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicole Gagnon NPPES

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

NICOLE GAGNON (NPI 1578932158) is an individual clinical provider in Willimantic, Connecticut, licensed in (12336) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578932158
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE GAGNON
Location Address134 CHURCH STWillimantic, CT 06226-2612
Mailing Address30 Fernwood StPlainfield, CT 06374-2109 · (860) 917-0819
Phone(860) 450-7130
Fax(860) 963-4979
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1578932158 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
License✔ Licensed · 12336
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 ListedCounselorTaxonomy 101Y00000X
134 CHURCH ST, Willimantic, CT 06226
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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 (PECOS)

Nicole Gagnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06226 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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

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

JAIME LEE LEY LMFT
Marriage & Family Therapist
134 CHURCH ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 213-0989

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 Nicole Gagnon's NPI number?

The NPI number for Nicole Gagnon is 1578932158. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Nicole Gagnon located?

Nicole Gagnon practices at 134 Church St, Willimantic, CT 06226. The listed phone number is (860) 450-7130.

What is Nicole Gagnon's specialty?

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

Is Nicole Gagnon enrolled in Medicare?

Yes. Nicole Gagnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Gagnon was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.