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BONNIE L. CANNON LICSW
NPI 1609354711
Social Worker - Clinical in Andover, MA

Active since July 31, 2018Opted out of Medicare · through Dec 11, 2026
2 DUNDEE PARK DR STE 301, ANDOVER, MA 01810(978) 396-9866 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2023, Jul 31, 2018 (2 updates tracked since 2018).

About Bonnie L. Cannon Licsw NPPES

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

BONNIE L. CANNON LICSW (NPI 1609354711) is an individual clinical provider in Andover, Massachusetts, licensed in Massachusetts (LICSW119930) and active in the NPI registry since July 2018. She has opted out of Medicare through December 11, 2026.

NPPES Registry Identity

NPI1609354711
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBONNIE L. CANNONCredential: LICSW
Location Address2 DUNDEE PARK DR STE 301Andover, MA 01810-3725
Mailing Address2 Dundee Park Dr Ste 301Andover, MA 01810-3725 · (978) 396-9866
Phone(978) 396-9866
Sole ProprietorYes
Enumeration DateJuly 31, 2018
Last NPPES UpdateOctober 22, 20232 updates tracked since enumeration
NPPES CertifiedOctober 22, 2023
✔ NPI 1609354711 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 MA · LICSW119930
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.
2 DUNDEE PARK DR STE 301, Andover, MA 01810
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bonnie L. Cannon Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2024 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2024
Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

KATRINA FRANCES MARTINO M.ED, LMHC
Counselor (Mental Health)
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (978) 396-9866
EMH ASSOCIATES, PLLC
Social Worker (Clinical)
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (617) 256-7616
ALEXANDRA DANNER MSW
Social Worker (Clinical)
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (617) 980-2581
ELIZABETH CATHERINE GRANATA MSW, LCSW
Social Worker (Clinical)
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (978) 396-9866
RACHEL LEIGH WELDON MS, LMHC
Counselor (Mental Health)
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (978) 396-9866
TIMOTHY JEEHWAN CHESLER
Counselor (Mental Health)
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (978) 396-9866
ASHLEY I SHEEHAN
Social Worker
2 DUNDEE PARK DR STE 301
ANDOVER, MA 01810
Essex County (978) 396-9866

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 Bonnie Cannon's NPI number?

The NPI number for Bonnie Cannon is 1609354711. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Bonnie Cannon located?

Bonnie Cannon practices at 2 Dundee Park Dr Ste 301, Andover, MA 01810. The listed phone number is (978) 396-9866.

What is Bonnie Cannon's specialty?

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

Is Bonnie Cannon enrolled in Medicare?

No. Bonnie Cannon has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Bonnie Cannon accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Bonnie 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 Bonnie Cannon was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.