Frederick Cannon, QMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1919 Main St
Hope Hall
Melrose Park, IL 60160-6016

Phone

(312) 810-4340

NPI assigned

Mar 30, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Volunteers of America of Illinois

  • Clinical Social Worker
  • Melrose Park, IL
  • NPI 1649970385
  NPD Authorized official
• Volunteers of America of Illinois

  • Social Worker
  • Melrose Park, IL
  • NPI 1881393437
  NPD
• Volunteers of America of Illinois

  • Case Management Agency
  • Chicago, IL
  • NPI 1497288096
  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1659075752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MAIN STREET",
            "address_2": "HOPE HALL",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603737",
            "telephone_number": "312-810-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MAIN ST",
            "address_2": "HOPE HALL",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601606016",
            "telephone_number": "312-810-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "FREDERICK",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristen Cademartori
• Dana Callico
• Juana Regina Camacho, LPC
• Patricia A Camarena, MA
• Tracy Marie Allen Campbell, M.D.
• Carlos Alberto Cantu
• Alejandro Cardenas, MASSAGE THERAPIST
• Yolanda Cardenas, M.D.
• Cardiac Imaging SC
• Caring Sisters Healthcare Agency

• Social Worker in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.