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

MS. Jill Cannon, LCSW

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1225003379

MS. Jill Cannon, LCSW is a Clinical Social Worker in Katonah, New York. Qualified in 1977, 49 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
49
Licensed in
NY
In the registry since
2006
Specialties on file
7
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

130 Allison Rd
Katonah, NY 10536-3430
Phone: (914) 401-9010
Fax: (914) 401-9009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0190571 (NY)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 0190571 (NY)
Psychologist Taxonomy 103T00000X · Licence R#019571 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0190571 (NY)
Family Psychologist Taxonomy 103TF0000X · Licence 0190571 (NY)
Forensic Psychologist Taxonomy 103TF0200X · Licence 0190571 (NY)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 019571 (NY)

Record details

NPI number1225003379
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESOctober 23, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services