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CANNON THERAPEUTIC
NPI 1497624951
Social Worker - Clinical in Midway, UT

Active since November 03, 2025
125 W MAIN ST UNIT 324, MIDWAY, UT 84049(949) 244-9982 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cannon Therapeutic NPPES

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

CANNON THERAPEUTIC (NPI 1497624951) is a healthcare organization registered as a clinical in Midway, Utah and active in the NPI registry since November 2025. The organization lists Tucker Croxall Cannon, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1497624951
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCANNON THERAPEUTIC
Location Address125 W MAIN ST UNIT 324Midway, UT 84049-8014
Mailing Address125 W Main St Unit 324Midway, UT 84049-8014 · (949) 244-9982
Phone(949) 244-9982
Organization SubpartNo
Authorized OfficialTucker Croxall CannonOwner, Provider · (949) 244-9982
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1497624951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
125 W MAIN ST UNIT 324, Midway, UT 84049
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Cannon Therapeutic's NPI number?

The NPI number for Cannon Therapeutic is 1497624951. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Cannon Therapeutic located?

Cannon Therapeutic is located at 125 W Main St Unit 324, Midway, UT 84049. The listed phone number is (949) 244-9982.

What is Cannon Therapeutic'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 Cannon Therapeutic was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.