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CLARISSA CHANELLE CANNON
NPI 1023588720
Social Worker - Clinical in Fremont, CA

Active since November 26, 2018
1860 MOWRY AVE STE 400, FREMONT, CA 94538(510) 770-8040 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2021, Apr 21, 2020, Dec 9, 2019 and 3 more (6 updates tracked since 2018).

About Clarissa Chanelle Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA CHANELLE CANNON (NPI 1023588720) is an individual clinical provider in Fremont, California, licensed in (131539) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1023588720
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCLARISSA CHANELLE CANNON
Location Address1860 MOWRY AVE STE 400Fremont, CA 94538-1730
Mailing Address40910 Fremont BlvdFremont, CA 94538-4375 · (510) 770-8040
Phone(510) 770-8040
Sole ProprietorNo
Enumeration DateNovember 26, 2018
Last NPPES UpdateJuly 22, 20256 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1023588720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · 131539
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1860 MOWRY AVE STE 400, Fremont, CA 94538
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAZ ALLERGY, ASTHMA & SINUS CENTER
Allergy & Immunology (Allergy)
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 894-0051
JESSICA CODISPOTI RN
Registered Nurse (Community Health)
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (000) 000-0000
VENUS KLINGER
Psychologist (Clinical)
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 770-8040
ALICIA RENE SHIVER MA
Counselor (Mental Health)
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 770-8040
DECCAN PACIFIC MEDICAL GROUP
Specialist
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 284-4100
BAY AREA COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 770-8040
JACQUELINE MARISOL PARADA FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 770-8040
JOSE T. FLORES-LOPEZ M.D.
Psychiatry & Neurology (Psychiatry)
1860 MOWRY AVE STE 400
FREMONT, CA 94538
Alameda County (510) 770-8040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarissa Cannon's NPI number?

The NPI number for Clarissa Cannon is 1023588720. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Clarissa Cannon located?

Clarissa Cannon practices at 1860 Mowry Ave Ste 400, Fremont, CA 94538. The listed phone number is (510) 770-8040.

What is Clarissa Cannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Clarissa Cannon was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.