Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Angela Gaynor, LICSW

Individual provider Clinical Social Worker · NPI 1639778996

Mrs. Angela Gaynor, LICSW is a Clinical Social Worker in Plymouth, Massachusetts. Qualified in 2015, 11 years ago. Practices with Jordan Physician Associates Inc, a 166-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

68 Nautical Way
Plymouth, MA 02360-8611
Phone: (203) 561-2236
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122444 (MA)

Record details

NPI number1639778996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Jordan Physician Associates Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Plymouth