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

Kimberly Cannon, LCSW

Individual provider Clinical Social Worker · NPI 1407563174

Kimberly Cannon, LCSW is a Clinical Social Worker in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2022.

Licensed in
MT
In the registry since
2022
Specialties on file
2
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

2112 Dixon Ave
Missoula, MT 59801-8226
Phone: (406) 319-5821
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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 (MT)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1407563174
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 23, 2023

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