LISA CANNON (LCSW) – Clinical Social Worker, NPI 1861809832

Clinical Social Worker

LISA CANNON (LCSW) is a healthcare provider. based in Delphi, Indiana. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 34007012A (IN). The NPI Number for LISA CANNON (LCSW) is 1861809832

Main info

Female

Sole Proprietor

18 Years Of Experience

Accepts Medicare Assignment

Name

LISA CANNON (LCSW)

NPI

1861809832

Phone

(412) 418-7731

Address

1265 N BRADFORD DR

Enumeration Date

22 July 2014

Last Update Date

29 November 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7655642247

Graduation Year

2008 (18 years ago)

PAC ID

3375760630

Group Practice PAC ID

7315927563

Professional Enrollment ID

I20140808002352

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience46

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for LISA CANNON (LCSW)

1265 N BRADFORD DR
DELPHI, IN 469239553
Phone: (412) 418-7731
Type: Mailing
100 SAW MILL RD STE 3200
LAFAYETTE, IN 479055597
Phone: (765) 267-8534
Fax: (765) 374-0866
Type: Location
534 S 9TH ST
LAFAYETTE, IN 479011727
Phone: (412) 418-7731
Fax: (765) 234-3809
Type: Mailing
114 EXECUTIVE DR
STE G
LAFAYETTE, IN 479054875
Phone: (412) 418-7731
Fax: (765) 234-3809
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46923)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7315927563View full group profile

Name	Specialty	State
Unknown Individual	-	IN
KAYLYNN KEEDY RANSPACH	-	IN
KEITH A BREHOB (LCSW)	Clinical Social Worker	IN
JENNIFER L SIMMONS (MS, LMFT)	Marriage And Family Therapist	IN
KYLEE SLADE	Nurse Practitioner	IN
DIANA LYNN KING (PMHNP)	Nurse Practitioner	IN
DALE CROWDER (PHD)	-	IN
ZEINAB TOBAA (MD)	P S Y C H I A T R Y	IN
DR. VERNON L LITTLE (M.D.)	-	IN
CARA LEWIS	Clinical Social Worker	IN