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

MS. Christine Cannon, LICSW

Individual provider Clinical Social Worker · NPI 1750602785

MS. Christine Cannon, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2006, 20 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2010
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

30 Northampton St
Boston, MA 02118-4010
Phone: (617) 433-9601
Fax: (617) 445-6538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 River St, Wellesley, MA 02481-2017 — (781) 431-1177

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 115663 (MA)

Record details

NPI number1750602785
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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