MR. TUCKER CROXALL CANNON LCSW
NPI 1205969623
Social Worker - School in Altadena, CA

Active since March 14, 2007
2046 ALLEN AVE RM 100, ALTADENA, CA 91001(626) 660-9419 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tucker Croxall Cannon Lcsw NPPES

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

MR. TUCKER CROXALL CANNON LCSW (NPI 1205969623) is an individual school provider in Altadena, California, licensed in California (28707) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205969623
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameMR. TUCKER CROXALL CANNONCredential: LCSW
Location Address2046 ALLEN AVE RM 100Altadena, CA 91001-3424
Mailing Address204 Main St. Suite 4091Newport Beach, CA 92661-9998 · (949) 244-9982
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateNovember 2, 2012
NPI 1205969623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
Licenses Licensed in CA · 28707 Licensed in CA · 18784
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 28707 (CA)
2046 ALLEN AVE RM 100, Altadena, CA 91001

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
2046 ALLEN AVE RM 100
ALTADENA, CA 91001
Community Health Worker
2046 ALLEN AVE RM 100
ALTADENA, CA 91001

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 Tucker Cannon's NPI number?

The NPI number for Tucker Cannon is 1205969623. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Tucker Cannon located?

Tucker Cannon practices at 2046 Allen Ave Rm 100, Altadena, CA 91001. The listed phone number is (626) 660-9419.

What is Tucker Cannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

What insurance does Tucker Cannon accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Tucker Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tucker Cannon was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.