Individual provider · Type 1 NPI

Kimberly Cannon, LCSW

Clinical Social Worker · Missoula, MT

NPI number 1407563174 Active

Practice location

2112 Dixon Ave
Missoula, MT 59801-8226

Call (406) 319-5821 Map

Mailing address

PO Box 7496
Missoula, MT 59807-7496

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1407563174

Kimberly Cannon, LCSW's National Provider Identifier is 1407563174, issued on Nov 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Missoula, MT. The record was last updated on Feb 27, 2023.