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MARY ELIZABETH CANNON LCSW
NPI 1700343530
Social Worker - Clinical in San Antonio, TX

Active since February 28, 2019PECOS EnrolledAccepts Medicare Assignment
4203 WOODCOCK DR STE 216, SAN ANTONIO, TX 78228(210) 564-9116(210) 564-9087 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2020, Feb 28, 2019 (2 updates tracked since 2019).

About Mary Elizabeth Cannon Lcsw NPPES

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

MARY ELIZABETH CANNON LCSW (NPI 1700343530) is an individual clinical provider in San Antonio, Texas, licensed in Texas (58351) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700343530
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ELIZABETH CANNONCredential: LCSW
Location Address4203 WOODCOCK DR STE 216San Antonio, TX 78228-1312
Mailing Address2504 Montague County DrKilleen, TX 76549-1609 · (254) 383-3421
Phone(210) 564-9116
Fax(210) 564-9087
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 28, 2019
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1700343530 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 in TX · 58351
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.
4203 WOODCOCK DR STE 216, San Antonio, TX 78228
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Elizabeth Cannon Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284974791
PECOS Enrollment IDI20190320001444
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KAREN C KEATING LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
SARAH MICHELLE WALTZ LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
ALYSSA B TORRES LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
BRANDY N AVILA LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
CARLA GROVES LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
JAZMANIKA IKIAH MARIA SMITH LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
LINDSAY M MINAROVIC LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116
ANN-MARIE MOORE LCSW
Social Worker (Clinical)
4203 WOODCOCK DR STE 216
SAN ANTONIO, TX 78228
Bexar County (210) 564-9116

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 Mary Cannon's NPI number?

The NPI number for Mary Cannon is 1700343530. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Mary Cannon located?

Mary Cannon practices at 4203 Woodcock Dr Ste 216, San Antonio, TX 78228. The listed phone number is (210) 564-9116.

What is Mary Cannon's specialty?

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

Is Mary Cannon enrolled in Medicare?

Yes. Mary Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Cannon accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mary 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 Mary Cannon was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.