Active NPIIndividual providerSole proprietor

Christine G Gagne, LICSW

Social Worker, Clinical in Northborough, Massachusetts

NPI Number1013499615
Practice location
33 Sunset Dr, Northborough, MA 01532-2317
Fax
—
Last updated
August 30, 2018

Christine Gough Gagne is a Social Worker, Clinical based in Northborough, MA. Christine Gough Gagne practices in Northborough, MA and has the professional credentials of LICSW. The NPI Number for Christine Gough Gagne is 1013499615 and holds a License No. 1021125-SW-LICSW (MA). The current practice location address for Christine Gough Gagne is 33 Sunset Dr, Northborough, MA 01532-2317 and can be reached out via phone at 508-393-2862.

Provider Profile Details

NPI Number
1013499615
Provider Name
Christine Gough Gagne
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
33 Sunset Dr, Northborough, MA 01532-2317
Phone Number
508-393-2862
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2018
Last Update Date
August 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Sunset Dr
Northborough, MA 01532-2317
Zip
01532-2317
Phone Number
508-393-2862
Northborough, MA 01532Get directions →

Provider Business Mailing Address Details

Address
33 Sunset Dr
Northborough, MA 01532-2317
City
Northborough
State
MA
Zip
01532-2317
Phone Number
508-393-2862

License Information

License Number
1021125-SW-LICSW
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christine G Gagne, LICSW?

The NPI number of Christine G Gagne, LICSW is 1013499615. It was assigned on August 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Christine G Gagne, LICSW?

Christine G Gagne, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1021125-SW-LICSW.

Where does Christine G Gagne, LICSW practice?

The practice location is 33 Sunset Dr, Northborough, MA 01532-2317. The office can be reached at 508-393-2862 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013499615 directly on the NPPES registry website.

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