Heather Gagnon
Individual provider Active NPI Clinical Social Worker · Deerfield, MA
NPI 1720565658 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1720565658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000120515 (MA)
- Practice address
- 271 Pine Nook Road
Deerfield, MA 01342-0134 - Phone
- (802) 380-3392
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000120515 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000120515 | MA | Yes |
Addresses
Primary practice location
271 Pine Nook Road
Deerfield, MA 01342-0134
Mailing address
271 Pine Nook Road
Deerfield, MA 01342
Phone (802) 380-3392
Other providers in Deerfield, MA
- Ellen J Carter
- Jo Cyr-Mutty
- Deerfield Academy
- Jon Dipace
- Enodia Ventures LLC
- Carolyn Ann Gourley
- Robert C. Graves
- Amber Meagan Holbrook
- Erika Rae Kuhr
- Susan Lascala
All providers in Deerfield, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.