Individual
MS. JESSICA M GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 LONG HILL RD STE 201, GROTON, CT 06340
(860) 705-2840
Mailing address
428 LONG HILL RD # 201, GROTON, CT 06340-3811
(860) 800-2107
(860) 450-1357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
07/20/2010
Last updated
08/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us