Jill Cannon, LCSW
Jill Cannon, LCSW is a provider specialising in Clinical Social Worker in Katonah, NY, registered under NPI 1225003379. This provider registers 7 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 130 ALLISON RD, Katonah, NY 10536. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0190571 | NY | Clinical Social Worker primary |
| 0190571 | NY | Addiction (Substance Use Disorder)… |
| R#019571 | NY | Psychologist |
| 0190571 | NY | Clinical Psychologist |
| 0190571 | NY | Family Psychologist |
| 0190571 | NY | Forensic Psychologist |
| 019571 | NY | Group Psychotherapy Psychologist |
This provider holds licence 0190571 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Social Worker
- PAC ID
- 8729178967
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical covers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker Clinical | 0190571 | NY | primary |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | 0190571 | NY | |
| 103T00000X | Psychologist | R#019571 | NY | |
| 103TC0700X | Clinical Psychologist Clinical | 0190571 | NY | |
| 103TF0000X | Family Psychologist Family | 0190571 | NY | |
| 103TF0200X | Forensic Psychologist Forensic | 0190571 | NY | |
| 103TP2701X | Group Psychotherapy Psychologist Group Psychotherapy | 019571 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1225003379 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 22, 2006 |
| Last updated | Oct 23, 2009 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | LCSW |
| Practice address |
130 ALLISON RD Katonah, NY 10536 (914) 401-9010 Fax (914) 401-9009 |
| Other identifiers |
140019057NY01
· ANTHEM 135497 · VALUE OPTIONS |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 0 | 0 | 3 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 0 | 0 | 6 | 3 | 5 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.