MRS. JENICA LANE CANNELLA MSW, LCSWA
NPI 1669152922
Social Worker - Clinical in Charlotte, NC

Q: What is Jenica Cannella's NPI number?

The NPI number for Jenica Cannella is 1669152922. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Q: What is Jenica Cannella's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenica Cannella was last updated on July 21, 2023. 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.

Active since July 21, 2023

6911 SHANNON WILLOW RD STE 500, CHARLOTTE, NC 28226(704) 807-6555(704) 246-8252 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Jenica Lane Cannella Msw, Lcswa NPPES

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

MRS. JENICA LANE CANNELLA MSW, LCSWA (NPI 1669152922) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P019086) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1669152922

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JENICA LANE CANNELLACredential: MSW, LCSWA

Location Address6911 SHANNON WILLOW RD STE 500Charlotte, NC 28226-1351

Mailing Address6911 Shannon Willow Rd Ste 500Charlotte, NC 28226-1351 · (704) 807-6555 · Fax (704) 246-8252

Phone(704) 807-6555

Fax(704) 246-8252

Sole ProprietorYes

Enumeration DateJuly 21, 2023

NPPES CertifiedJuly 21, 2023

✔ NPI 1669152922 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 · P019086

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.

6911 SHANNON WILLOW RD STE 500, Charlotte, NC 28226

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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 10

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

BRITTANY HOLMES LCMHCA

Counselor (Mental Health)