MR. TUCKER CROXALL CANNON LCSW NPI 1205969623

Social Worker (School) in Altadena, CA

NPI 1205969623 Individual Male Social Worker School

About TUCKER CANNON

Tucker Cannon is a provider established in Altadena, California and his medical specialization is social worker (school) . The NPI number of Tucker Cannon is 1205969623 and was assigned on March 2007. The practitioner's primary taxonomy code is 1041S0200X with license number 28707 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A school social worker like Mr. Tucker Croxall Cannon Lcsw works with teachers, parents, and school administrators to develop plans and strategies to improve students' academic performance and social development. Students are referred to school social workers to deal with problems like aggressive behavior, bullying, or frequent school absences.

Tucker Cannon is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1205969623

Provider NameMR. TUCKER CROXALL CANNON LCSW
Provider Location Address2046 ALLEN AVE RM 100 ALTADENA, CA 91001
Provider Mailing Address204 MAIN ST. SUITE 4091 NEWPORT BEACH, CA 92661
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-14-2007
Last Update Date11-02-2012


Primary Taxonomy

Taxonomy Code1041S0200X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationSchool
License No.28707
License StateCA

Business Address

MR. TUCKER CROXALL CANNON LCSW
2046 ALLEN AVE RM 100
ALTADENA, CA
ZIP 91001
Phone: (626) 660-9419

Get Directions


Mailing Address

MR. TUCKER CROXALL CANNON LCSW
204 MAIN ST. SUITE 4091
NEWPORT BEACH, CA
ZIP 92661
Phone: (949) 244-9982



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical28707CANo

Taxonomy Description: 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.

21041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool18784CANo

Taxonomy Description: Not Available

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811365638 NANCY TEPAZ
Individual
Counselor (Mental Health)2046 ALLEN AVE RM 100
ALTADENA, CA 91001
(626) 396-5920
1225415672 REBECCA TEICHMAN
Individual
Marriage & Family Therapist2046 ALLEN AVE RM 100
ALTADENA, CA 91001
(626) 396-5920
1497304315 FEDERICO GODINA
Individual
Student in an Organized Health Care Education/Training Program2046 ALLEN AVE RM 100
ALTADENA, CA 91001
(626) 396-5920
1043553795 CHRISTIAN MARES GASCA
Individual
Social Worker (Clinical)2046 ALLEN AVE RM 100
ALTADENA, CA 91001
(626) 396-5920
1568820769MR. VICTOR ROMERO
Individual
Rehabilitation Practitioner2046 ALLEN AVE RM 100
ALTADENA, CA 91001
(626) 396-5620

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.