Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Gagnon, MSW, LICSW, LADC

Individual provider Clinical Social Worker · NPI 1073822946

Mark Gagnon, MSW, LICSW, LADC is a Clinical Social Worker in Glens Falls, New York. Qualified in 2007, 19 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York and Vermont.

Years since qualifying
19
Licensed in
NY, VT
In the registry since
2010
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

206 Glen St
Glens Falls, NY 12801-3584
Phone: (518) 321-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 083553 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0890054418 (VT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 000534 (VT)

Record details

NPI number1073822946
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW , LADC
Sole proprietorYes
NPI enumeratedSeptember 27, 2010
Last updated in NPPESOctober 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Glens Falls