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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK GAGNON, MSW, LICSW, LADC

Active Sole Proprietor

MARK GAGNON, MSW, LICSW, LADC is a Clinical Social Worker healthcare provider located in GLENS FALLS, New York. NPI 1073822946 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GLENS FALLS, NY

Registration Details

NPI Number
1073822946
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2010 (15.858224447849 yrs)
Last Updated
Oct 5, 2015
Licenses
0890054418 (VT)
083553 (NY)
000534 (VT)
Sole Proprietor
Yes

Practice Information

Address
206 GLEN ST
GLENS FALLS, NY, 128013584
Browse NY providers · Browse ZIP 12801
Phone
5183215592
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in GLENS FALLS, NY

Name Credential NPI
VINCENT THOMAS GERARDI L.C.S.W. - R, CASAC 1740223833
JOSEPH MC KAY 1881601292
MS. VIRGINIA M DONOHUE LCSWR 1861509853
ANNE CATHERINE GRATTON LCSW-R 1811005093
MARTHA CROW TORREGROSSA LCSW 1447368675
SANDRA LEE FOSTER LCSW 1285742486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.