Mr James Kennedy Cannon, LISW-S, LICDC-CS is a
Social Worker - Clinical based in Dayton, Ohio. Mr James Kennedy Cannon is licensed to practice in Ohio (license number I 1000338) and his current practice location is
310 Troy St, Dayton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 463-2955.
NPI number for Mr James Kennedy Cannon is 1932557147 and his current mailing address is 310 Troy St, Dayton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932557147.
Healthcare Provider's Profile
| Full Name | Mr James Kennedy Cannon |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 310 Troy St, Dayton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932557147
- Provider Enumeration Date: 05/27/2016
- Last Update Date: 05/27/2016
Medical Identifiers
Medical identifiers for Mr James Kennedy Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932557147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 913109 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I 1000338 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James Kennedy Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr James Kennedy Cannon, LISW-S, LICDC-CS
310 Troy St,
Dayton, OH 45404-1858
Ph: (937) 463-2955 | Mr James Kennedy Cannon, LISW-S, LICDC-CS
310 Troy St,
Dayton, OH 45404-1858
Ph: (937) 463-2955 |
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