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

MS. Lisa A. Gagnon, MSW, LICSW

Individual provider Mental Health Counselor · NPI 1538277009

MS. Lisa A. Gagnon, MSW, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Graduated from Boston University School of Medicine in 1991, 35 years ago. Practices with Community Healthlink Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
35
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2006
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.

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Practice location Address checks out

72 Jaques Ave
Worcester, MA 01610-2476
Phone: (508) 860-1154
Fax: (508) 792-9814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1022688 (MA)

Record details

NPI number1538277009
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedAugust 26, 2006
Last updated in NPPESSeptember 24, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Community Healthlink Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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