Lucy Roberts Cannon, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW002455 Issued in GA

Practice address

100 Edgewood Ave NE
1800
Atlanta, GA 30303-3026

Phone

(404) 875-0201

Fax

(800) 661-2054

NPI assigned

Feb 5, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lucy Mae Roberts-Cannon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1609290121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-875-0201",
            "fax_number": "800-661-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-875-0201",
            "fax_number": "800-661-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "LUCY",
        "middle_name": "ROBERTS",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW002455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "ROBERTS-CANNON",
            "middle_name": "MAE",
            "prefix": "DR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jesse B Cannon, MD
• Julie Elizabeth Cannon, LPC
• Kim Cannon
• Laurel Cannon
• Linda Jean Cannon, MD
• Robert Davis Cannon, RN, CNS
• Rubaba Cannon
• Cannonier Psychological Center LLC
• Alfred Bates Canon, LPC
• Canopy Oaks Mental Health, LLC

• Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.