Individual provider · Type 1 NPI

Kristi Gannon

Clinical Social Worker · Fort Lauderdale, FL

NPI number 1952867111 Active

Practice location

2425 E Commercial Blvd Ste 405
Fort Lauderdale, FL 33308-4029

Call (855) 284-7483 Map

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724

Other practice locations

  • 6076 Franconia Rd Ste D, Alexandria, VA 22310-1768 · (703) 828-9054
  • 15784 NW 12th Ct, Pembroke Pines, FL 33028-1614 · (855) 284-7483

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010874 (VA)

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 1952867111

Kristi Gannon's National Provider Identifier is 1952867111, issued on Feb 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Nov 4, 2021.