Individual provider · Type 1 NPI

Clarissa Chanelle Cannon

Clinical Social Worker · Fremont, CA

NPI number 1023588720 Active

Practice location

1860 Mowry Ave Ste 400
Fremont, CA 94538-1730

Call (510) 770-8040 Map

Mailing address

40910 Fremont Blvd
Fremont, CA 94538-4375

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X131539

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023588720

Clarissa Chanelle Cannon's National Provider Identifier is 1023588720, issued on Nov 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fremont, CA. The record was last updated on Jul 22, 2025.