Individual provider · Type 1 NPI

Lisa Cannon, LCSW

Clinical Social Worker · Lafayette, IN

NPI number 1861809832 Active

Practice location

100 Saw Mill Rd Ste 3200
Lafayette, IN 47905-5597

Fax (765) 374-0866

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34007012A (IN)

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 1861809832

Lisa Cannon, LCSW's National Provider Identifier is 1861809832, issued on Jul 22, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Nov 29, 2023.