Katherine B Cannon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009478A Issued in IN

Practice address

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Phone

(317) 338-4800

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Vincent Hospital & Health Care Center, Inc.

  dba Ascension St. Vincent Stress Center

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1689869893
  Medicare reassignment NPD
• St. Vincent Hospital & Health Care Center, Inc.

  dba Ascension St. Vincent Pharmacy

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1194929646
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1245972975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 JAYWICK DR APT 207",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378566",
            "telephone_number": "317-727-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036",
            "telephone_number": "317-338-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13578 E 131st St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460376401",
            "country_code": "US",
            "telephone_number": "317-827-7870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8470 Allison Pointe Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462504368",
            "country_code": "US",
            "telephone_number": "812-505-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Jaywick Dr Apt 207",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460378566",
            "country_code": "US",
            "telephone_number": "317-727-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009478A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Alicia Cannon, LCSW
• Corynn E Cannon, PA-C
• Danielle M Cannon, NP
• Erin Cannon, COSMETOLOGIST
• Gregory P Cannon
• Nancy Murphy Cannon, OTR
• Vanessa Cano, RBT
• Dillon Canter, PA-C
• Krysta Cantero
• Susan W Cantin, LCSW

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.