Active NPI
Angel Desouza Cannon, LSW
- Social Worker
- Cleveland, OH
National Provider Identifier
1033461058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S. 1101314
- Practice address
- 5241 Wilson Mills Rd Ste 24
Cleveland, OH 44143-2141 - Phone
- (216) 926-8879
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S. 1101314 | OH | Primary |
Addresses
Primary practice location
5241 Wilson Mills Rd Ste 24
Cleveland, OH 44143-2141
Mailing address
PO Box 21340
South Euclid, OH 44121-0340
Phone (216) 308-5347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S. 1101314 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Family Counseling and Educational Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- South Euclid, OH
- NPI 1588814909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1033461058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21340",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441210340",
"telephone_number": "216-308-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5241 WILSON MILLS RD STE 24",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441432141",
"telephone_number": "216-926-8879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "ANGEL",
"middle_name": "DESOUZA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S. 1101314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.