Active NPIIndividual providerSole proprietor

Bonnie L Cannon, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1609354711
Practice location
2 Dundee Park Dr Ste 301, Andover, MA 01810-3725
Fax
—
Last updated
October 22, 2023

Bonnie L. Cannon is a Social Worker, Clinical based in Andover, MA. Bonnie L. Cannon practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Bonnie L. Cannon is 1609354711 and holds a License No. LICSW119930 (MA). The current practice location address for Bonnie L. Cannon is 2 Dundee Park Dr Ste 301, Andover, MA 01810-3725 and can be reached out via phone at 978-396-9866.

Provider Profile Details

NPI Number
1609354711
Provider Name
Bonnie L. Cannon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2 Dundee Park Dr Ste 301, Andover, MA 01810-3725
Phone Number
978-396-9866
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2018
Last Update Date
October 22, 2023
Certification Date
October 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Dundee Park Dr Ste 301
Andover, MA 01810-3725
Zip
01810-3725
Phone Number
978-396-9866
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
2 Dundee Park Dr Ste 301
Andover, MA 01810-3725
City
Andover
State
MA
Zip
01810-3725
Phone Number
978-396-9866

License Information

License Number
LICSW119930
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bonnie L Cannon, LICSW?

The NPI number of Bonnie L Cannon, LICSW is 1609354711. It was assigned on July 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Bonnie L Cannon, LICSW?

Bonnie L Cannon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW119930.

Where does Bonnie L Cannon, LICSW practice?

The practice location is 2 Dundee Park Dr Ste 301, Andover, MA 01810-3725. The office can be reached at 978-396-9866 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609354711 directly on the NPPES registry website.

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