Active NPI
Marie Elizabeth Cannon, LCSW
- Social Worker
- Fountain Valley, CA
National Provider Identifier
1629190368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7180-C
- Practice address
- 18970 Mount Cimarron St
Fountain Valley, CA 92708-7313 - Phone
- (833) 851-1600
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 7180-C | NV | Primary |
Addresses
Primary practice location
18970 Mount Cimarron St
Fountain Valley, CA 92708-7313
Mailing address
18970 Mount Cimarron St
Fountain Valley, CA 92708-7313
Phone (775) 762-7080
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01015-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1629190368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18970 MOUNT CIMARRON ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087313",
"telephone_number": "775-762-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18970 MOUNT CIMARRON ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087313",
"telephone_number": "833-851-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "MARIE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "7180-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.