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

Mrs. Phoebe Geralyn Cannon, LCSW

Individual provider Mental Health Counselor · NPI 1932314861

Mrs. Phoebe Geralyn Cannon, LCSW is a Clinical Social Worker in Fayetteville, New York. Qualified in 1995, 31 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2007
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

7000 E Genesee St Bldg C
Fayetteville, NY 13066-1131
Phone: (315) 446-2110
Fax: (315) 446-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R052773 (NY)

Record details

NPI number1932314861
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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