Individual provider · Type 1 NPI

Justin Deandre Cannon, LCSW

Clinical Social Worker · Houston, TX

NPI number 1639826936 Active

Practice location

4131 S Braeswood Blvd
Houston, TX 77025-3392

Fax (713) 667-3619

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X104745 (TX)
Clinical Social Worker Primary 1041C0700X104745 (TX)

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 1639826936

Justin Deandre Cannon, LCSW's National Provider Identifier is 1639826936, issued on Mar 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Houston, TX. The record was last updated on Oct 9, 2024.