Soteria Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOTERIA COUNSELING PLLC

Doing business as

John C Cannon

Practice address

1455 Poplar Ave
Memphis, TN 38104-2934

Phone

(901) 462-4747

Fax

(901) 276-0225

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. John Clark Cannon, LCSWNPI 1568584514

Title

Ceo/Therapist

Phone

(901) 462-4747

Specialties & licenses 1

Addresses

Other names 1

• John C Cannon Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Clark Cannon, LMSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1568584514
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1922858323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 HERITAGE LAKE COVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38109",
            "telephone_number": "901-605-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042934",
            "telephone_number": "901-462-4747",
            "fax_number": "901-276-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTERIA COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-10-24",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "901-462-4747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C Cannon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John C Cannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawry Sorensen, B.A.
• Jeffrey M Sorenson, MD
• Laura Ann Sosinski, PHARMD, MBA
• Norman Terry Soskel, MD, FACP, FCCP
• Glinda Welch Sossaman, PTA
• Miguel Angel Soto Miranda, M.D.
• Marva L Souder, MD
• Sara Catherine Soule, M.D.
• Michael Christopher Soult
• Jordan Soumah

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.