Individual provider · Type 1 NPI

Kerry A. Cannon, MSW, LCSW

Clinical Social Worker · Coos Bay, OR

NPI number 1346494978 Active

Practice location

1577 Pennsylvania Ct
Coos Bay, OR 97420-9203

Fax (833) 419-0181

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X80395 (CA)

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 1346494978

Kerry A. Cannon, MSW, LCSW's National Provider Identifier is 1346494978, issued on Nov 10, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coos Bay, OR. The record was last updated on Jun 20, 2023.