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

Individual provider Clinical Social Worker · NPI 1780335810

Nicole M. Gagnon, LCSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Internal Medical Associates-Ebnhc, a 242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2022
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

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 414-5245
Fax: (617) 414-5520
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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 LICSW124767 (MA)

Record details

NPI number1780335810
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Internal Medical Associates-Ebnhc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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