Individual provider · Type 1 NPI

Betty Lynn Gannon, LCSW

Clinical Social Worker · Brooklyn, NY

NPI number 1306312236 Active

Practice location

134 N 4th St
Brooklyn, NY 11249-3296

Call (646) 450-7748 Map

Mailing address

445 Smith Ridge Rd
South Salem, NY 10590-2626

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X099537 (NY)
Clinical Social Worker 1041C0700X089.0137083 (VT)
Clinical Social Worker 1041C0700X15443 (CT)

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 1306312236

Betty Lynn Gannon, LCSW's National Provider Identifier is 1306312236, issued on Oct 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on May 11, 2026.