Nedra Cannon LCSW LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NEDRA CANNON LCSW LLC

Practice address

411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483

Phone

(517) 219-5761

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Nedra Cannon

Title

Owner

Phone

(517) 219-5761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1548895626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26162",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489096162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C120",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238483",
            "telephone_number": "517-219-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDRA CANNON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-219-5761"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fareeha Naz, MD
• Ibrahima Ndiaye
• Sherry Adaeze Nduka
• Shirley L Neal, LPC
• Nebbeling Osteopathic Health PLLC
• Neeshan Mehretu LMSW LLC
• Brianna Mae Neff, LMT
• David Robert Neff, DO
• Derrick Dennis-Dean Nelson
• Jody Nelson, RSW

• Adult Mental Health Clinic/Center in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.