Individual provider · Type 1 NPI
Jill Cannon, LCSW
Clinical Social Worker · Katonah, NY
Practice location
130 Allison Rd
Katonah, NY 10536-3430
Fax (914) 401-9009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 0190571 (NY) |
| Psychologist | 103T00000X | R#019571 (NY) |
| Clinical Psychologist | 103TC0700X | 0190571 (NY) |
| Family Psychologist | 103TF0000X | 0190571 (NY) |
| Forensic Psychologist | 103TF0200X | 0190571 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 0190571 (NY) |
| Group Psychotherapy Psychologist | 103TP2701X | 019571 (NY) |
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 1225003379
Jill Cannon, LCSW's National Provider Identifier is 1225003379, issued on Feb 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Katonah, NY. The record was last updated on Oct 23, 2009.