Provider Type Icon

MS. JILL CANNON LCSW NPI 1225003379


NPI Information

NPI: 1225003379
Provider Name: MS. JILL CANNON, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
130 ALLISON RD
KATONAH, NY
ZIP 10536
Phone: (914) 401-9010
Get Directions

MS. Jill Cannon, LCSW is a clinical social worker in Katonah, NY with 47 years of experience. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Jill Cannon, LCSW NPI is 1225003379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 ALLISON RD
KATONAH, NY
ZIP 10536-430
Phone: (914) 401-9010
Fax: (914) 401-9009

The NPI 1225003379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 10/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)0190571NEW YORKNo
2103TP2701XPsychologistGroup Psychotherapy019571NEW YORKNo
3103T00000XPsychologistR#019571NEW YORKNo
4103TC0700XPsychologistClinical0190571NEW YORKNo
5103TF0000XPsychologistFamily0190571NEW YORKNo
6103TF0200XPsychologistForensic0190571NEW YORKNo
71041C0700XSocial WorkerClinical0190571NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140019057NY01OTHERANTHEM
2N37222MEDICARE PINNEW YORK
3135497OTHERVALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.