Cannon Consulting Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CANNON CONSULTING SERVICES LLC

Practice address

758 NW Rainbow St
Port St Lucie, FL 34983-8309

Phone

(772) 206-0334

NPI assigned

Aug 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Edward Cannon

Title

Business Manager

Phone

(772) 206-0334

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1346079753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 NW RAINBOW ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838309",
            "telephone_number": "772-206-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 NW RAINBOW ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838309",
            "telephone_number": "772-206-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "772-206-0334"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Campbell, CRNA
• Valencia L Campbell, LCSW, LICSW
• Robinson Ruben Cancel
• Melissa Candela, MD
• Maria Cecilia Valenzuela Canete, PT
• Heather Cannon, LCSW
• Elsie Rebecca Cano, ITDS
• Capdlc Dental PLLC
• Diana Capellan
• Augusto Cappelli, RBT

• Clinical Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.