Individual provider Active NPI

Lynn Persica Cannon, LMSW

  • Social Worker
  • Baton Rouge, LA
National Provider Identifier
1265952873
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14381 Issued in LA
Practice address
923 Executive Park Ave Ste 12
Baton Rouge, LA 70806-2000
Phone
(225) 303-0212
Fax
(225) 355-1555
NPI assigned
Jun 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 14381 LA
Social Worker 104100000X 14381 LA Primary

Addresses

Primary practice location

923 Executive Park Ave Ste 12
Baton Rouge, LA 70806-2000

Mailing address

8444 S Essen Heights CT
Baton Rouge, LA 70809-2217
Phone (225) 771-8884

Other practice location 1

1020 Government Street
Bldg E
Baton Rouge, LA 70802
Phone (225) 364-2550

Other names 1

  • Ms. Lynn Marie Persica Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14381LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1265952873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 S ESSEN HEIGHTS CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092217",
            "telephone_number": "225-771-8884",
            "fax_number": "225-771-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 EXECUTIVE PARK AVE STE 12",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062000",
            "telephone_number": "225-303-0212",
            "fax_number": "225-355-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Government Street",
            "address_2": "Bldg E",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70802",
            "country_code": "US",
            "telephone_number": "225-364-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "LYNN",
        "middle_name": "PERSICA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "14381",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "PERSICA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.