MR. JAMES M GAGNON (PHD, MSW, LCSW) – Psychologist, NPI 1780684274

MR. JAMES M GAGNON (PHD, MSW, LCSW) is a healthcare provider. based in Tallahassee, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PHD, MSW, LCSW. They hold a License No. SW4770 (FL). The NPI Number for MR. JAMES M GAGNON (PHD, MSW, LCSW) is 1780684274

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES M GAGNON (PHD, MSW, LCSW)
NPI
1780684274
Phone
(850) 877-0205
Address
220 OFFICE PLZ
Enumeration Date
26 July 2005
Last Update Date
25 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
4587850862
Professional Enrollment ID
I20101129000665
Address ID
FL323096828TA2910XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MR. JAMES M GAGNON (PHD, MSW, LCSW)

  • 220 OFFICE PLZ

    TALLAHASSEE, FL 323012808

    Phone: (850) 877-0205

    Fax: (850) 877-1129

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101129000665IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32301)

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Reviews

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Frequently asked questions

How is MR. JAMES M GAGNON (PHD, MSW, LCSW) identified in CMS data?
CMS-hosted NPPES data lists MR. JAMES M GAGNON (PHD, MSW, LCSW) with NPI 1780684274.
Does CMS list MR. JAMES M GAGNON (PHD, MSW, LCSW) as active?
Yes — MR. JAMES M GAGNON (PHD, MSW, LCSW) is active in the NPI listing used on this page.
What is MR. JAMES M GAGNON (PHD, MSW, LCSW)'s primary classification?
Psychologist is the headline specialty for MR. JAMES M GAGNON (PHD, MSW, LCSW) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. JAMES M GAGNON (PHD, MSW, LCSW) on a map?
Expect Tallahassee, Florida as a primary anchor for MR. JAMES M GAGNON (PHD, MSW, LCSW) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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