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

Mrs. Stephanie Theresa Gagnon, LCSW

Individual provider Clinical Social Worker · NPI 1063530145

Mrs. Stephanie Theresa Gagnon, LCSW is a Clinical Social Worker in Norfolk, Virginia. Qualified in 1993, 33 years ago. Practices with Bold Ruler LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
33
Licensed in
VA
In the registry since
2007
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

821 W 21st St Ste 209
Norfolk, VA 23517-1500
Phone: (757) 280-1777
Fax: (757) 585-3521
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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 0904003494 (VA)

Record details

NPI number1063530145
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESOctober 27, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Bold Ruler Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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