Individual provider · Type 1 NPI

Thomas Francis Gannon, L.I.S.W.S.

Clinical Social Worker · Beachwood, OH

NPI number 1790802932 Active

Practice location

24100 Chagrin Blvd Ste 400
Beachwood, OH 44122-5545

Call (440) 831-1040 Map

Fax (440) 831-2667

Mailing address

25700 Sceience Park Drive. Suite 200, Landmark Centre.
Beachwood, OH 44122

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-0002363 SUPV (OH)

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 1790802932

Thomas Francis Gannon, L.I.S.W.S.'s National Provider Identifier is 1790802932, issued on Mar 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beachwood, OH. The record was last updated on Nov 9, 2016.