Individual provider · Type 1 NPI

James Kennedy Cannon, LISW-S, LICDC-CS

Clinical Social Worker · Dayton, OH

NPI number 1932557147 Active

Practice location

310 Troy St
Dayton, OH 45404-1858

Call (937) 463-2955 Map

Fax (937) 531-7019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X913109 (OH)
Clinical Social Worker Primary 1041C0700XI 1000338 (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 1932557147

James Kennedy Cannon, LISW-S, LICDC-CS's National Provider Identifier is 1932557147, issued on May 27, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on May 27, 2016.