Active NPI
Joanne Marie Cannavo, PHD
- Clinical Social Worker
- Buffalo, NY
National Provider Identifier
1245448968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0546451
- Practice address
- 1201 Colvin Blvd Ste 3
Buffalo, NY 14223-1936 - Phone
- (716) 877-1188
- Fax
- (716) 877-1187
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0546451 | NY | Primary |
Addresses
Primary practice location
1201 Colvin Blvd Ste 3
Buffalo, NY 14223-1936
Mailing address
65 Washington Hwy
Amherst, NY 14226-4332
Phone (716) 816-5147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0546451 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245448968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WASHINGTON HWY",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264332",
"telephone_number": "716-816-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 COLVIN BLVD STE 3",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142231936",
"telephone_number": "716-877-1188",
"fax_number": "716-877-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNAVO",
"first_name": "JOANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0546451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.