Individual provider · Type 1 NPI

Christine Cannon, LICSW

Clinical Social Worker · Boston, MA

NPI number 1750602785 Active

Practice location

30 Northampton St
Boston, MA 02118-4010

Call (617) 433-9601 Map

Fax (617) 445-6538

Other practice locations

  • 11 River St, Wellesley, MA 02481-2017 · (781) 431-1177

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X115663 (MA)

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 1750602785

Christine Cannon, LICSW's National Provider Identifier is 1750602785, issued on Jun 14, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Sep 5, 2025.