KIMBERLEE LOCKWOOD CANNON LISW-CP
NPI 1538517248
Social Worker in Columbia, SC

Q: What is Kimberlee Cannon's NPI number?

The NPI number for Kimberlee Cannon is 1538517248. It was assigned to this individual provider in the NPPES registry on June 3, 2016. The provider is also known as Kimberlee Allen Lockwood Lisw-Cp.

Q: What is Kimberlee Cannon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberlee Cannon was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 03, 2016PECOS Enrolled

2711 COLONIAL DR, COLUMBIA, SC 29203(803) 726-9460 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2020, Nov 20, 2017 (2 updates tracked since 2017).

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About Kimberlee Lockwood Cannon Lisw-cp NPPES

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

KIMBERLEE LOCKWOOD CANNON LISW-CP (NPI 1538517248) is an individual social worker in Columbia, South Carolina, licensed in South Carolina (11700) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538517248

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKIMBERLEE LOCKWOOD CANNONCredential: LISW-CP

Location Address2711 COLONIAL DRColumbia, SC 29203-6818

Mailing Address2711 Colonial DrColumbia, SC 29203-6818

Phone(803) 726-9460

Sole ProprietorNo

Enumeration DateJune 3, 2016

Last NPPES UpdateJune 16, 20202 updates tracked since enumeration

NPPES CertifiedJune 16, 2020

✔ NPI 1538517248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in SC · 11700

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

2711 COLONIAL DR, Columbia, SC 29203

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Other Names 1

Former Name (1)Kimberlee Allen Lockwood Lisw-cp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberlee Lockwood Cannon Lisw-cp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NIJOKU ODOM

Counselor (Addiction (Substance Use Disorder))