STACY LYNN CANNAVINO LCSW
NPI 1457724361
Social Worker - Clinical in Athens, PA

Active since November 02, 2015
104 WATER ST, ATHENS, PA 18810(570) 423-0365 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Lynn Cannavino Lcsw NPPES

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

STACY LYNN CANNAVINO LCSW (NPI 1457724361) is an individual clinical provider in Athens, Pennsylvania, licensed in New York (1779893) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1457724361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY LYNN CANNAVINOCredential: LCSW
Location Address104 WATER STAthens, PA 18810-1002
Mailing Address104 Water StAthens, PA 18810-1002 · (570) 423-0365
Sole ProprietorNo
Enumeration DateNovember 2, 2015
Last NPPES UpdateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
NPI 1457724361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 1779893
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.
Also ListedCounselorTaxonomy 101Y00000X
104 WATER ST, Athens, PA 18810

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
104 WATER ST
ATHENS, PA 18810

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 Stacy Cannavino's NPI number?

The NPI number for Stacy Cannavino is 1457724361. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Stacy Cannavino located?

Stacy Cannavino practices at 104 Water St, Athens, PA 18810. The listed phone number is (570) 423-0365.

What is Stacy Cannavino's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Cannavino was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.