Jill Cannon, LCSW
NPI 1225003379ActiveIndividual· Social Worker, Clinical· Katonah, NY
Social Worker, Clinical (LCSW) in Katonah, New York, licensed in NY, with an NPI issued in February 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1225003379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Feb 22, 2006 |
| Last updated in NPPES | Oct 23, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 0190571 | NY |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | 0190571 | NY |
| Psychologist | 103T00000X | R#019571 | NY |
| Psychologist, Clinical | 103TC0700X | 0190571 | NY |
| Psychologist, Family | 103TF0000X | 0190571 | NY |
| Psychologist, Forensic | 103TF0200X | 0190571 | NY |
| Psychologist, Group Psychotherapy | 103TP2701X | 019571 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 1977 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 28 clinical social workers in Katonah · All clinical social workers in New York