MARY ELIZABETH CANNON (NPI# 1700343530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700343530 |
Entity Type | Individual |
Full Name | MARY ELIZABETH CANNON |
Credential | LCSW |
Practice Address |
1711 E Central Texas Expy # 30 Killeen TX 76541-9166 |
Practice Telephone | 2544000090 |
Practice Fax Number | 2548534177 |
Mailing Telephone | 2544000090 |
Mailing Fax Number | 2548534177 |
Enumeration Date | 2019-02-28 |
Last Update Date | 2020-02-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 1041C0700X |
Social Worker Specialization: Clinical |
58351 | TX | Behavioral Health & Social Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6534 Stuebner Airline Rd, Houston, TX 770913207 | 7182983822 | 8883710842 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508217209 | Mary Cannon | Registered Nurse | 29686 Millstream Dr, Salisbury, MD 21804-2002 | 2016-06-24 |
1164593661 | Mary Elizabeth Cannon | Counselor | 69 Surfside Ave, Montauk, NY 11954-0896 | 2006-11-13 |
1144789694 | Mary Cannon | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2019-03-14 |
1053600825 | Mary Sprowl Cannon | Marriage & Family Therapist | 1101 S Winchester Blvd, Suite A101, San Jose, CA 95128-3901 | 2011-04-01 |
1477883668 | Mary Dale Cannon | Psychologist | 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312-2763 | 2010-01-11 |
1871711101 | Mary P Cannon | Social Worker | 1190 N 900 E, Provo, UT 84604-3536 | 2007-04-23 |
1801930623 | Mary Cannon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975-9300 | 2007-02-16 |
1023127891 | Mary J Cannon | Obstetrics & Gynecology | 545 Plainfield Rd, Suite C, Willowbrook, IL 60527-7600 | 2006-08-29 |
1679532592 | Mary L Cannon | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-03-20 |
Street Address |
1711 E CENTRAL TEXAS EXPY # 30 |
City | KILLEEN |
State | TX |
Zip Code | 76541-9166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
1942723218 | Madeline Y Chung | Acupuncturist | 201 N Gray St #a, Killeen, TX 76541 | 2017-07-19 |
1447709266 | Henry Charles Lucksinger Jr. | Dentist | 811 Oakhill Drive, Killeen, TX 76541 | 2016-09-22 |
1285039289 | Greater Killeen Free Clinic | Clinic/Center | 718 N 2nd Str, Suite A, Killeen, TX 76541 | 2014-11-03 |
1508158247 | Michelle D Tucker | Social Worker | 508 North 8th Street, Killeen, TX 76541 | 2011-05-13 |
1952618258 | Mbs Wellness Chiropractic Center | Clinic/Center | 300 West Central Texas Expressway, Killeen, TX 76541 | 2010-09-08 |
1134369804 | Adrianne B Scanlon | Occupational Therapist | 605 Donne, Killeen, TX 76541 | 2009-02-20 |
1306962337 | Karen Venhuizen | Speech-Language Pathologist | 882 Fort Hood Road, Suite 1050, Killeen, TX 76541 | 2007-03-21 |
1184759714 | Eleanor L. Melville | Social Worker | 1805 Florence Road, Suite 10, Killeen, TX 76541 | 2007-02-23 |
1962545491 | Matthew Michael Williams | Counselor | 1711 E Central Texas Expy Ste 300i, Killeen, TX 76541 | 2007-02-15 |
Find all providers in zip 76541 |
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 |
---|---|---|---|---|
1558996330 | Nadia Le | Social Worker | 3106 S W S Young Dr Ste B-202, Killeen, TX 76542-2000 | 2020-03-11 |
1619508389 | Subena Gustave | Social Worker | 3106 Minthorn Dr, Killeen, TX 76542-1932 | 2020-01-30 |
1952953861 | Courageous New Directions, Pllc | Social Worker | 202 W Central Texas Expy Ste 206, Killeen, TX 76541-8902 | 2019-07-11 |
1316400666 | Kami Diaz | Social Worker | 2710 Cunningham Rd Unit 21104, Killeen, TX 76542-3270 | 2019-04-12 |
1902364722 | Helen E Berg | Social Worker | 3106 S W S Young Dr Ste B202, Killeen, TX 76542-2000 | 2019-03-11 |
1003315128 | Brandee Nichols | Social Worker | 902 N 10th St, Killeen, TX 76541-4829 | 2018-02-04 |
1255868121 | Kathleen Marie Kennedy | Social Worker | 3106 S W S Young Dr Ste 201b, Killeen, TX 76542-2008 | 2017-05-22 |
1356884001 | Crystal Clear Behavioral Health Services Inc | Social Worker | 4304a E Central Texas Expy Ste A, Killeen, TX 76543-7308 | 2016-11-29 |
1700255064 | Marina E Bigness | Social Worker | 12105 Oakalla Rd, Killeen, TX 76549-2568 | 2015-09-16 |
1497132195 | Danita Davis | Social Worker | 1711 E Central Texas Expy Ste 108-6, Killeen, TX 76541-9145 | 2015-05-01 |
Find all providers in KILLEEN |
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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.