JILL CANNON, LCSW — NPI 1225003379 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1225003379

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

130 ALLISON RD, KATONAH, NY, 10536-3430

✓ 9-Digit EDI 837 ZIP+4 (10536-3430)

Practice Phone & Referral Fax

(914) 401-9010

Fax: (914) 401-9009

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225003379 (JILL CANNON, LCSW) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B

✓ Eligible

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

Hospice Referring

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1225003379` (NPI-1 Individual Practitioner)
Provider / Legal Name	JILL CANNON, LCSW
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	130 ALLISON RD, KATONAH, NY, 10536-3430
Practice Telephone / Fax	Tel: (914) 401-9010 \| Fax: (914) 401-9009
Administrative Mailing Address	130 ALLISON RD, KATONAH, NY, 10536-3430
Enumeration & Last Sync	Enumerated: 2006-02-22 \| CMS Record Updated: 2009-10-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

130 ALLISON RD, KATONAH, NY, 10536-3430

🗺️ Open in Google Maps 🏥 More Providers in KATONAH

🔒 Are you JILL CANNON, LCSW? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JILL CANNON, LCSW)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TA0400X` — Psychologist, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)	State: NY \| License: `0190571` \| Primary: Secondary
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: NY \| License: `R#019571` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: NY \| License: `0190571` \| Primary: Secondary
`103TF0000X` — Psychologist, Family Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Family	State: NY \| License: `0190571` \| Primary: Secondary
`103TF0200X` — Psychologist, Forensic Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic	State: NY \| License: `0190571` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: NY \| License: `0190571` \| Primary: Yes (Primary)
`103TP2701X` — Psychologist, Group Psychotherapy Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Group Psychotherapy	State: NY \| License: `019571` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

JILL CANNON, LCSW (NPI #1225003379)