Edithe Anne Gagnon, LCSW, DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC7700 Issued in ME

Practice address

157 Park St
Suite 35
Bangor, ME 04401-5093

Phone

(207) 945-3911

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265594832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SUMMER ST",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441211",
            "telephone_number": "207-862-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARK ST",
            "address_2": "SUITE 35",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015093",
            "telephone_number": "207-945-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "EDITHE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC7700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Stephen Gaar, DPT
• Mona E Gagne, CRNA/APRN
• Addison Gagnon, MS OT/L
• Brianne Kori Gagnon
• Danielle Lee Gagnon, LSW-C
• Melanie Gagnon, RN
• Timothy F Gale, CRNA
• Brian Keith Galipeau, LMSW-CC
• Cristie Gallagher, RN
• Joseph P Gallagher, MD

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.