Stacy Lynn Cannavino, LCSW is a
Social Worker - Clinical based in Athens, Pennsylvania. Stacy Lynn Cannavino is licensed to practice in New York (license number 1779893) and her current practice location is
104 Water St, Athens, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 423-0365.
NPI number for Stacy Lynn Cannavino is 1457724361 and her current mailing address is 104 Water St, Athens, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457724361.
Healthcare Provider's Profile
Full Name | Stacy Lynn Cannavino |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 104 Water St, Athens, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457724361
- Provider Enumeration Date: 11/02/2015
- Last Update Date: 08/26/2022
Medical Identifiers
Medical identifiers for Stacy Lynn Cannavino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457724361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 1779893 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Lynn Cannavino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Lynn Cannavino, LCSW 104 Water St, Athens, PA 18810-1002 Ph: (570) 423-0365 | Stacy Lynn Cannavino, LCSW 104 Water St, Athens, PA 18810-1002 Ph: (570) 423-0365 |
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