Provider Demographics
NPI:1174778229
Name:GAGNIER, DENISE (LICSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:GAGNIER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-9526
Mailing Address - Country:US
Mailing Address - Phone:413-386-8297
Mailing Address - Fax:
Practice Address - Street 1:460 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-9526
Practice Address - Country:US
Practice Address - Phone:413-386-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10283521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical