Active NPI
Danielle Elaine Cannon, LCSW
- Clinical Social Worker
- Coeur D Alene, ID
National Provider Identifier
1437673274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-31545
- Practice address
- 950 W Ironwood Dr Ste 6
Coeur D Alene, ID 83814-2644 - Phone
- (208) 661-2645
- NPI assigned
- Aug 2, 2017
- 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 | LCSW-31545 | ID | Primary |
Addresses
Primary practice location
950 W Ironwood Dr Ste 6
Coeur D Alene, ID 83814-2644
Mailing address
14615 Reagan CT
Rathdrum, ID 83858-8327
Phone (208) 661-2645
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-31545 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1437673274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14615 REAGAN CT",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838588327",
"telephone_number": "208-661-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W IRONWOOD DR STE 6",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142644",
"telephone_number": "208-661-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "DANIELLE",
"middle_name": "ELAINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-31545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.