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MARY P CANNON LCSW
NPI 1871711101
Social Worker - Clinical in Provo, UT

Active since April 23, 2007

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary P Cannon Lcsw NPPES

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

MARY P CANNON LCSW (NPI 1871711101) is an individual clinical provider in Provo, Utah, licensed in Utah (135563-3501) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1871711101
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY P CANNONCredential: LCSW
Location Address1190 N 900 EProvo, UT 84604-3536
Mailing Address1190 N 900 E, Lds Family ServicesProvo, UT 84604-3536 · (801) 422-7620
Phone(801) 422-7620
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateNovember 18, 2009
✔ NPI 1871711101 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 UT · 135563-3501
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.
1190 N 900 E, Provo, UT 84604
Open in Google Maps ↗

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.

SUSAN EASTON BLACK
Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-7620
CAMBREE HASSELL
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Utah County (385) 349-5001
PROF. BENJAMIN MCKAY OGLES PHD
Psychologist (Clinical)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-8193
DR. ELAINE WALTON PHD
Social Worker (Clinical)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 228-7125
BYU SPEECH AND LANGUAGE CLINIC
Clinic/Center (Hearing and Speech)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-5117
DR. LAUREN ALYSSA BARNES LMFT
Marriage & Family Therapist
1190 N 900 E, 274 TLRB- BYU
PROVO, UT 84604
Utah County (801) 422-3889
MRS. ANN LEILANI NGATAI
Counselor (Professional)
1190 N 900 E
PROVO, UT 84604
Utah County (801) 422-7620
MAXWELL HEYBORNE
Student in an Organized Health Care Education/Training Program
1190 N 900 E
PROVO, UT 84604
Utah County (385) 349-5001

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 1871711101. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Mary Cannon located?

Mary Cannon practices at 1190 N 900 E, Provo, UT 84604. The listed phone number is (801) 422-7620.

What is Mary 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 Mary Cannon was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.