MEDICARE: MS. COLLEEN H CANYON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	098837	NY
2	171100000X	Acupuncturist	25MZ00019300	NJ
3	171100000X	Acupuncturist	001473	NY
4	1041C0700X	Clinical Social Worker	44SC06373900	NJ

General Provider Information

NPI Number	:	1801935010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. COLLEEN H CANYON LCSW

Provider Business Mailing Address
First Line	:	394 MOUNTAIN ROAD
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087
Country	:	US
Telephone Number	:	917-881-8096
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 9TH ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4288
Country	:	US
Telephone Number	:	929-992-0935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	03/23/2025

Similar Medicare Providers

1467711218 — DR. MIRIAM A. BURT PSY.D.
Practice Location Address:

220 9TH ST STE 2041
JERSEY CITY, NJ
07302-4288

Practice Phone: 201-733-4277
Practice Fax: 201-353-2318

1245794007 — JENICE ACOSTA LCSW
Practice Location Address:

220 9TH ST STE 2060
JERSEY CITY, NJ
07302-4288

Practice Phone: 917-524-9372
Practice Fax:

1427814193 — SUNLIGHT PSYCHOTHERAPY LLC
Practice Location Address:

220 9TH ST STE 2060
JERSEY CITY, NJ
07302-4288

Practice Phone: 917-524-9372
Practice Fax:

1184518664 — GOLD COAST PSYCHOLOGICAL SERVICES, PC
Practice Location Address:

220 9TH ST STE 2041
JERSEY CITY, NJ
07302-4288

Practice Phone: 201-733-4277
Practice Fax:

1851958441 — DR. EMILY SHARP AUD
Practice Location Address:

5820 N MAY AVE STE C
OKLAHOMA CITY, OK
73112-4288

Practice Phone: 405-842-8377
Practice Fax: 405-842-0730

1033126339 — MR. GREGORY BOLLINGER LMT
Practice Location Address:

294 WARNER MILNE RD
OREGON CITY, OR
97045-4288

Practice Phone: 503-974-9628
Practice Fax: 503-974-9642

Directions to “ MS. COLLEEN H CANYON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.