SUSAN WAVERLY GAGNON (LICSW) – Clinical Social Worker, NPI 1376553669

SUSAN WAVERLY GAGNON (LICSW) is a healthcare provider. based in Pittsfield, Massachusetts. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 105461 (MA). The NPI Number for SUSAN WAVERLY GAGNON (LICSW) is 1376553669

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN WAVERLY GAGNON (LICSW)
NPI
1376553669
Phone
(413) 447-2655
Address
725 NORTH STREET
Enumeration Date
9 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4134472000
Graduation Year
1980 (46 years ago)
PAC ID
7911968433
Group Practice PAC ID
1355232711
Professional Enrollment ID
I20041019000744
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN WAVERLY GAGNON (LICSW)

  • Berkshire Medical Center, 725, North Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States

    DEPT OF PSYCHIATRY

    PITTSFIELD, MA 012018501

    Phone: (413) 447-2655

    Fax: (413) 447-2656

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 01201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355232711View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)VA
Emergency MedicineMI
Emergency MedicineMA
Nurse PractitionerMA
Internal MedicineMA
Emergency MedicineMA
A N E S T H E S I O L O G YMA
-OR
Internal MedicineMA

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN WAVERLY GAGNON (LICSW)'s NPI?
Yes. SUSAN WAVERLY GAGNON (LICSW) is listed with NPI 1376553669 in the public NPI dataset.
Is SUSAN WAVERLY GAGNON (LICSW) listed as active for patients and plans?
The listing shows SUSAN WAVERLY GAGNON (LICSW) as active in the NPI system.
What healthcare role does SUSAN WAVERLY GAGNON (LICSW) hold?
Scheduling teams often label SUSAN WAVERLY GAGNON (LICSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN WAVERLY GAGNON (LICSW)?
SUSAN WAVERLY GAGNON (LICSW)'s geographic hint is Pittsfield, Massachusetts in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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