Victoria Gagnon, LICSW
NPI 1558954321ActiveIndividual· Social Worker· St Louis Park, MN
Social Worker (LICSW) in St Louis Park, Minnesota, licensed in MN, with an NPI issued in February 2021. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1558954321 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Feb 12, 2021 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Aug 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 27606 | MN |
| Social Worker, Clinical | 1041C0700X | 27606 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
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