JENNA C CANNON MSW LSW LCAC NPI 1447518766

NPI Information

NPI: 1447518766
Provider Name: JENNA C CANNON, MSW, LSW, LCAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1431 N DELAWARE ST
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 536-7100
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Jenna C Cannon, MSW, LSW, LCAC is an addiction (substance use disorder) counselor in Indianapolis, IN. Jenna C Cannon, MSW, LSW, LCAC NPI is 1447518766. 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:

1431 N DELAWARE ST
INDIANAPOLIS, IN
ZIP 46202-416
Phone: (317) 536-7100
Fax: (317) 536-7101

The enumeration date for this NPI number is 4/24/2012 and was last updated on 10/27/2015.

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
1	104100000X	Social Worker		33006338A	INDIANA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87001118A	INDIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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