Active NPIIndividual provider

Ms. Heather M Cannon, LCSW

Social Worker, Clinical in Green Village, New Jersey

NPI Number1902022163
Practice location
667 Shunpike RD, Green Village, NJ 07935-3021
Fax
—
Last updated
July 5, 2022

Heather Michelle Cannon is a Social Worker, Clinical based in Green Village, NJ. Heather Michelle Cannon practices in Green Village, NJ and has the professional credentials of LCSW. The NPI Number for Heather Michelle Cannon is 1902022163 and holds a License No. 44SC05761800 (NJ). The current practice location address for Heather Michelle Cannon is 667 Shunpike RD, Green Village, NJ 07935-3021 and can be reached out via phone at 973-714-2453.

Provider Profile Details

NPI Number
1902022163
Provider Name
Heather Michelle Cannon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
667 Shunpike RD, Green Village, NJ 07935-3021
Phone Number
973-714-2453
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2007
Last Update Date
July 5, 2022
Certification Date
July 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
667 Shunpike RD
Green Village, NJ 07935-3021
Zip
07935-3021
Phone Number
973-714-2453
Green Village, NJ 07935Get directions →

Provider Business Mailing Address Details

Address
667 Shunpike RD
Green Village, NJ 07935-3021
City
Green Village
State
NJ
Zip
07935-3021
Phone Number
973-714-2453

License Information

License Number
44SC05761800
License State
NJ
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 Ms. Heather M Cannon, LCSW?

The NPI number of Ms. Heather M Cannon, LCSW is 1902022163. It was assigned on April 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Heather M Cannon, LCSW?

Ms. Heather M Cannon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05761800.

Where does Ms. Heather M Cannon, LCSW practice?

The practice location is 667 Shunpike RD, Green Village, NJ 07935-3021. The office can be reached at 973-714-2453 (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 1902022163 directly on the NPPES registry website.

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