Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Anthony George Gagnon Jr., LCSW

Individual provider Clinical Social Worker · NPI 1467229401

Mr. Mark Anthony George Gagnon Jr., LCSW is a Clinical Social Worker in Merritt Island, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

240 Bonita Dr
Merritt Island, FL 32952-5102
Phone: (321) 355-2157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 — (941) 776-4000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SW22246 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW22246 (FL)

Record details

NPI number1467229401
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

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