Judith Ann Canter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009073 Issued in WA

Practice address

2417 Broadway St
Vancouver, WA 98663-3228

Phone

(360) 903-7415

Fax

(360) 263-3938

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1215123435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986290923",
            "telephone_number": "360-903-7415",
            "fax_number": "360-263-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633228",
            "telephone_number": "360-903-7415",
            "fax_number": "360-263-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009073",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy L Cannon, PA-C
• Breanne Cannon, PA-C
• Jessica Cannon
• Kathy Sue Canny, RD, CD, CDE
• Corie Canova, SUDP
• Megan Canton, MSW
• Levi Cantrell
• Melissa Cantwell
• Capitol Dental Group, PC (Gentle Dental, Smile Keepers)
• Cassandra Jean Capone, MSW

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.