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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberlee Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Richland Alcohol & Drug Abuse Council, Inc.
1.3 mi
Rehabilitation, Substance Use Disorder
2711 COLONIAL DRIVE
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1538153069 (803) 726-9301

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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))
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9351
LANITA SUNSHINE PATTERSON
Counselor (Addiction (Substance Use Disorder))
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9300
BRITTANY STRAFFORD
Counselor (Addiction (Substance Use Disorder))
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9300
MS. PRISCILLA SADE' CONEY
Counselor
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9525
KELLY GRICE ED.S., LPC-A
Counselor (Professional)
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9300
MR. JOSEPH MANUEL OQUENDO JR.
Counselor (Addiction (Substance Use Disorder))
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9300
MR. ERIC CLARK
Social Worker
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9300
TRACY PROVEAUX
Counselor (Addiction (Substance Use Disorder))
2711 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 726-9300

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 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.

Where is Kimberlee Cannon located?

Kimberlee Cannon practices at 2711 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 726-9460.

What is Kimberlee Cannon's specialty?

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

Is Kimberlee Cannon enrolled in Medicare?

Yes. Kimberlee Cannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberlee Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Cannon reassigns Medicare benefits to Lexington Richland Alcohol & Drug Abuse Council, Inc. (Columbia, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberlee Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.