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

Nicole Gagnon

Individual provider Clinical Social Worker · NPI 1578932158

Nicole Gagnon is a Clinical Social Worker in Willimantic, Connecticut. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

134 Church St
Willimantic, CT 06226-2612
Phone: (860) 450-7130
Fax: (860) 963-4979
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12336
Counselor Taxonomy 101Y00000X

Record details

NPI number1578932158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

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