Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Betty Lynn Gannon, LCSW

Individual provider Clinical Social Worker · NPI 1306312236

Betty Lynn Gannon, LCSW is a Clinical Social Worker in Brooklyn, New York. Qualified in 2016, 10 years ago. Practices with Valera Medical PC, a 161-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, New York and Vermont.

Years since qualifying
10
Licensed in
CT, NY, VT
In the registry since
2018
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

134 N 4th St
Brooklyn, NY 11249-3296
Phone: (646) 450-7748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 099537 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 089.0137083 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15443 (CT)

Record details

NPI number1306312236
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Valera Medical Pc — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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