MRS. CARRIE ELLA CANNON (NPI# 1154579977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154579977 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE ELLA CANNON |
| Other Name | MS. KARI ELLA HUGHES |
| Credential | M.A. |
| Practice Address |
1615 Martin Luther King Blvd Malvern AR 72104-2233 |
| Mailing Address |
571 Saginaw Eddy Rd Donaldson AR 71941-8060 |
| Practice Telephone | 5013325236 |
| Mailing Telephone | 5015158656 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3455-C | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2410 Pine St, Arkadelphia, AR 719234335 | 8702452223 | 8702452225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760547400 | Carrie Sue Cannon | Family Medicine | 8010 West Colonial Dr., Unit #146-162, Orlando, FL 32818 | 2006-12-22 |
| 1356973648 | Carrie Cannon | Behavior Technician | 6413 Quince Rd, Memphis, TN 38119-8219 | 2020-02-05 |
| 1063965077 | Carrie Cannon | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2016-07-26 |
| 1346442936 | Carrie Cannon | Nurse Practitioner | 5 Federal Street, Lahey Danvers, Danvers, MA 01923-3687 | 2007-06-05 |
| 1205929478 | Carrie Cannon | Pediatrics | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2006-10-02 |
| Street Address |
1615 MARTIN LUTHER KING BLVD |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703389 | Lota M. Hardin | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2006-01-06 |
| 1295346757 | Bonnie Lynn Mann | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2020-08-10 |
| 1245873710 | Johna Grant | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-10-28 |
| 1013567338 | Brittney Mcgriff | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-09-18 |
| 1598319303 | Shatoria Brianne Johnson | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-07-30 |
| 1841764040 | Maronica Howard | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-01-22 |
| 1962996413 | Mariah Brown | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-19 |
| 1861984957 | Adela Hernandez | Social Worker | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-04 |
| 1104365824 | Ryan Zotz | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2017-02-14 |
| 1154771483 | Brittany Olloway | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506579 | Amber Klimovitz | Social Worker | 199 Line Rd, Malvern, PA 19355-3318 | 2018-11-05 |
| 1437524170 | Tisha R. Jenkins, Lcsw P.a. | Social Worker | 14475 Highway 9, Malvern, AR 72104-5879 | 2015-12-07 |
| 1619372174 | Phyllis Littman | Social Worker | 45 Creekside Ln, Apartment 315, Malvern, PA 19355-3217 | 2014-10-27 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| 1205165479 | Pennsylvania Gestalt Center | Social Worker | 1434 Treeline Dr, Malvern, PA 19355-9703 | 2009-12-16 |
| 1053515510 | Lorin Carlson-healy | Social Worker | 233 E King St Apt 224, Malvern, PA 19355-2543 | 2007-06-11 |
| 1912030057 | Self Expressions | Social Worker | Swedesford Corporate Center, 617 B. Swedesford Road, Malvern, PA 19355 | 2007-03-14 |
| 1649319815 | Staci June Connolly | Social Worker | 639 Swedesford Rd, Malvern, PA 19355-1530 | 2007-02-05 |
| 1871647156 | Romulus Henry | Social Worker | 829 Halbert Street, Malvern, AR 72104 | 2007-01-23 |
| 1154408698 | Flecia Greta Bryant | Social Worker | 829 Martin Luther King Blvd, Malvern, AR 72104-2637 | 2006-11-01 |
| Find all providers in MALVERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.