Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY LYNN CANNAVINO, LCSW
ActiveSTACY LYNN CANNAVINO, LCSW is a Clinical Social Worker healthcare provider located in ATHENS, Pennsylvania. NPI 1457724361 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ATHENS, PA
Registration Details
- NPI Number
- 1457724361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2015 (10.768323128769 yrs)
- Last Updated
- Aug 26, 2022
- License
-
1779893 (NY)
Practice Information
- Address
-
104 WATER STATHENS, PA, 188101002Browse PA providers · Browse ZIP 18810
- Phone
- 5704230365
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.