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MS. CHRISTINE CANNON LICSW
NPI 1750602785
Social Worker - Clinical in Boston, MA

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
30 NORTHAMPTON ST, BOSTON, MA 02118(617) 433-9601(617) 445-6538 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Jan 20, 2016 (2 updates tracked since 2016).

About Ms. Christine Cannon Licsw NPPES

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

MS. CHRISTINE CANNON LICSW (NPI 1750602785) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (115663) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wellesley, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1750602785
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CHRISTINE CANNONCredential: LICSW
Location Address30 NORTHAMPTON STBoston, MA 02118-4010
Mailing Address30 Northampton StBoston, MA 02118-4098 · (617) 433-9601 · Fax (617) 445-6538
Phone(617) 433-9601
Fax(617) 445-6538
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 14, 2010
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1750602785 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 · 115663
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.
30 NORTHAMPTON ST, Boston, MA 02118
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Secondary Practice Location 1

Location 111 River StWellesley, MA 02481-2017 · Phone (781) 431-1177 ext. 11177

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, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Christine Cannon Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022271295
PECOS Enrollment IDI20120525000384
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ASHLEY RATCHFORD GILLIAM RN
Registered Nurse
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 433-9601
MS. HEATHER FITZGERALD NP
Nurse Practitioner (Adult Health)
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (888) 522-2199
JOYCE GICHANA NP
Nurse Practitioner (Family)
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 433-9601
MEREDITH AMSHOFF
Social Worker (Clinical)
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 426-0600
JENNIFER SMITH MCSHEFFREY NP
Nurse Practitioner (Family)
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 433-9601
DR. CAROLINE M BERCHUCK MD
Family Medicine
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 433-9601
CHRISTINA J BAILEY RN
Registered Nurse
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 433-9601
KIM M TREMBLAY N.P.
Nurse Practitioner (Primary Care)
30 NORTHAMPTON ST
BOSTON, MA 02118
Suffolk County (617) 433-9601

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 Christine Cannon's NPI number?

The NPI number for Christine Cannon is 1750602785. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Christine Cannon located?

Christine Cannon practices at 30 Northampton St, Boston, MA 02118. The listed phone number is (617) 433-9601.

What is Christine Cannon's specialty?

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

Is Christine Cannon enrolled in Medicare?

Yes. Christine Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Christine Cannon accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Christine 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 Christine Cannon was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.