MARY ELIZABETH CANNON


Address: 1711 E Central Texas Expy # 30, Killeen, TX 76541-9166
Phone: 2544000090

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
6534 Stuebner Airline Rd, Houston, TX 770913207 7182983822 8883710842

Other Providers MARY CANNON

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

Office Location

Street Address 1711 E CENTRAL TEXAS EXPY # 30
City KILLEEN
State TX
Zip Code 76541-9166

Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City KILLEEN
Zip Code 76541

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Dataset Information

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.

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