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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLYN GRACE CANNON LCSW
NPI 1003489121
Social Worker - Clinical in Charlotte, NC

Active since July 19, 2021
8832 BLAKENEY PROFESSIONAL DR STE 103, CHARLOTTE, NC 28277(908) 675-3118 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 3, 2026, Jun 15, 2023, Jul 19, 2021 (3 updates tracked since 2021).

About Kaitlyn Grace Cannon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN GRACE CANNON LCSW (NPI 1003489121) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C020609) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1003489121
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLYN GRACE CANNONCredential: LCSW
Location Address8832 BLAKENEY PROFESSIONAL DR STE 103Charlotte, NC 28277-6717
Mailing Address8832 Blakeney Professional Dr Ste 103Charlotte, NC 28277-6717 · (908) 675-3118
Phone(908) 675-3118
Sole ProprietorYes
Enumeration DateJuly 19, 2021
Last NPPES UpdateOctober 3, 20263 updates tracked since enumeration
NPPES CertifiedOctober 3, 2026
✔ NPI 1003489121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C020609
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8832 BLAKENEY PROFESSIONAL DR STE 103, Charlotte, NC 28277
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Other Names 1

Former Name (1)Kaitlyn Grace Miller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBEKAH PECCA LCSW
Social Worker (Clinical)
8832 BLAKENEY PROFESSIONAL DR STE 103
CHARLOTTE, NC 28277
Mecklenburg County (980) 280-5804
SOUTH CHARLOTTE COUNSELING AND PSYCHOTHERAPY, PLLC
Counselor (Mental Health)
8832 BLAKENEY PROFESSIONAL DR STE 103
CHARLOTTE, NC 28277
Mecklenburg County (704) 277-7157
MRS. SANDRA H POVOA LCSW
Social Worker (Clinical)
8832 BLAKENEY PROFESSIONAL DR STE 103
CHARLOTTE, NC 28277
Mecklenburg County (704) 576-5996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Cannon's NPI number?

The NPI number for Kaitlyn Cannon is 1003489121. It was assigned to this individual provider in the NPPES registry on July 19, 2021. The provider is also known as Kaitlyn Grace Miller.

Where is Kaitlyn Cannon located?

Kaitlyn Cannon practices at 8832 Blakeney Professional Dr Ste 103, Charlotte, NC 28277. The listed phone number is (908) 675-3118.

What is Kaitlyn Cannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kaitlyn Cannon accept?

Health plans from Blue Cross and Blue Shield of NC list Kaitlyn Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaitlyn Cannon was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.