Individual provider · Type 1 NPI

Shamicka L. Cannon, LMSW

Clinical Social Worker · Germantown, TN

NPI number 1124625041 Active

Practice location

2158 Judicial Dr
Germantown, TN 38138-3823

Mailing address

10942 Lexington Dr
Olive Branch, MS 38654-9317

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XM9755 (MS)
Clinical Social Worker Primary 1041C0700X13442 (TN)

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 1124625041

Shamicka L. Cannon, LMSW's National Provider Identifier is 1124625041, issued on Oct 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Germantown, TN. The record was last updated on Sep 26, 2024.