Erica Gagne, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

228709 Issued in MA

Practice address

220 Reservoir St Ste 21
Needham, MA 02494-3133

Phone

(781) 429-7855

NPI assigned

Sep 13, 2023

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Centered Minds Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Millis, MA
  • NPI 1679291066
  NPD

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1548047418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEAN ST",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541705",
            "telephone_number": "917-652-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RESERVOIR ST STE 21",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943133",
            "telephone_number": "781-429-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Jonas Licsw PLLC
• Idonia N Gaede
• Dania Braunstein Gaffin, PH.D.
• Diana Gaffin
• Kaitlin Gaffney, NP
• Peter A Gale, D.C.
• Laurel Galford, MSW, LICSW
• Julianne Garbarino, MS, CCC-SLP
• Mary-Frances Garber, M.S., CGC
• Genevieve Michelle Garceau

• Clinical Social Worker in Needham, MA
• Providers in Needham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.