Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kaitlyn Grace Cannon, LCSW

Individual provider Clinical Social Worker · NPI 1003489121

Kaitlyn Grace Cannon, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

8832 Blakeney Professional Dr Ste 103
Charlotte, NC 28277-6717
Phone: (908) 675-3118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C020609 (NC)

Record details

NPI number1003489121
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 19, 2021
Last updated in NPPESOctober 3, 2026
Certification dateOctober 3, 2026

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