Individual provider · Type 1 NPI

Kaitlyn Grace Cannon, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1003489121 Active

Practice location

8832 Blakeney Professional Dr Ste 103
Charlotte, NC 28277-6717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC020609 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1003489121

Kaitlyn Grace Cannon, LCSW's National Provider Identifier is 1003489121, issued on Jul 19, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 3, 2026.