Teresa Mae Cannon in Bryan - Social Worker
Teresa Mae Cannon - NPI 1306867064
Teresa Mae Cannon is a Social Worker in Bryan, Texas. Teresa Mae Cannon practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Teresa Mae Cannon is 1306867064. The last update date is 2007-07-08.
Teresa Mae Cannon's current location address is 3712 Ravenwood Drive, Bryan, Texas. You can contact this provider via phone number 9796800361 and fax number 9796932962. The mailing address for Teresa Mae Cannon is 3712 Ravenwood Drive, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Mae Cannon |
|---|---|
| Address | 3712 Ravenwood Drive, Bryan, Texas |
| Phone Number | 9796800361 |
| Fax Number | 9796932962 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1306867064 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3712 Ravenwood Drive |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 77802 |
| Phone Number | 9796800361 |
| Fax Number | 9796932962 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
| Licence No | 15534 |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the unique 10-digit identifier code issued to Teresa Mae Cannon by the Centers for Medicare & Medicaid Services?
The Teresa Mae Cannon has been assigned the NPI (National Provider Identifier) 1306867064 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Teresa Mae Cannon is located?
The Teresa Mae Cannon is situated at the following address: 3712 Ravenwood Drive, Bryan, TX, 77802.
What is the Teresa Mae Cannon's specialty and taxonomy code?
The Teresa Mae Cannon's specialty is Social Worker, and the corresponding taxonomy code is 104100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306867064 to Teresa Mae Cannon?
The Teresa Mae Cannon received its 1306867064 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the details pertaining to Teresa Mae Cannon last refreshed?
The information related to the Teresa Mae Cannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.