IndividualActive
Bonnie Cannon, LICSW
NPI 1609354711 · Clinical Social Worker · Andover, MA
Bonnie Cannon, LICSW is a Clinical Social Worker provider in Andover, MA (NPI 1609354711).
Provider details
- NPI number
- 1609354711
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LICSW119930 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Dundee Park Dr Ste 301
Andover, MA 01810-3725
Phone: (978) 396-9866
Street-level locationGet directions
Mailing address
2 Dundee Park Dr Ste 301
Andover, MA 01810-3725
Registry dates
- Enumerated
- 2018-07-31
- Last updated
- 2023-10-22
- Certified
- 2023-10-22
Frequently asked questions
- What is Bonnie Cannon's NPI number?
- Bonnie Cannon's National Provider Identifier (NPI) is 1609354711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonnie Cannon's specialty?
- Bonnie Cannon is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bonnie Cannon located?
- Bonnie Cannon's practice location on file with NPPES is 2 Dundee Park Dr Ste 301, Andover, MA 01810-3725.
- What is Bonnie Cannon's phone number?
- The practice phone number listed in the NPPES registry for Bonnie Cannon is (978) 396-9866.
- Is Bonnie Cannon's NPI active?
- Yes — Bonnie Cannon's NPI (1609354711) is active in the NPPES registry as of the last update on 2023-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.