Individual provider Active NPI

Denise Gagnier, LICSW

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1174778229
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1028352 Issued in MA
Practice address
460 Mountain Rd
Holyoke, MA 01040-9526
Phone
(413) 386-8297
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1028352 MA Primary

Addresses

Primary practice location

460 Mountain Rd
Holyoke, MA 01040-9526

Mailing address

460 Mountain Rd
Holyoke, MA 01040-9526
Phone (413) 386-8297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000666 MA Practitioner - Clinical Social Worker 3173678406 Practice locations: Holyoke, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

460 Mountain Rd
Holyoke, MA 01040-9526
Phone (413) 386-8297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1028352MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weise Counseling Collaborative Inc Clinical Current Accepting new patients
Pioneer Valley Surgical Associates, P.C. Past Accepting new patients
Katie Defoe-Raymond Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1174778229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MOUNTAIN RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409526",
            "telephone_number": "413-386-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MOUNTAIN RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409526",
            "telephone_number": "413-386-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNIER",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.