Mrs Amy Alicia Cannon, LCSW is a
Social Worker - Clinical based in Indianapolis, Indiana. Mrs Amy Alicia Cannon is licensed to practice in Indiana (license number 34007059A) and her current practice location is
1099 N Meridian St, Ste. 900, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 988-1423.
NPI number for Mrs Amy Alicia Cannon is 1275693707 and her current mailing address is 1481 W 10th St, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275693707.
Healthcare Provider's Profile
Full Name | Mrs Amy Alicia Cannon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1099 N Meridian St, Indianapolis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275693707
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 09/19/2014
Medical Identifiers
Medical identifiers for Mrs Amy Alicia Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275693707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34007059A (Indiana) | 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. Mrs Amy Alicia 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 |
Mrs Amy Alicia Cannon, LCSW 1481 W 10th St, Indianapolis, IN 46202-2803 Ph: (317) 988-1423 | Mrs Amy Alicia Cannon, LCSW 1099 N Meridian St, Ste. 900, Indianapolis, IN 46204-1075 Ph: (317) 988-1423 |
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