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

Individual provider Clinical Social Worker · NPI 1558954321

Victoria Gagnon, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
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

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-2498
Fax: (952) 993-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11505 36th Ave N, Plymouth, MN 55441-2304 — (651) 955-3551

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 27606 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 27606 (MN)

Record details

NPI number1558954321
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 12, 2021
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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