Individual provider · Type 1 NPI

Patrice Cannon, LCSW

Clinical Social Worker · Lithonia, GA

NPI number 1386931962 Active

Practice location

5481 Tunbridge Wells Rd
Lithonia, GA 30058-5684

Fax (678) 460-0350

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW001836 (GA)

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 1386931962

Patrice Cannon, LCSW's National Provider Identifier is 1386931962, issued on Jul 5, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lithonia, GA. The record was last updated on Jul 5, 2011.