NPI 1124625041

Shamicka L Cannon, LMSW

Practitioner Clinical Social Worker Germantown, TN

Practice location

Address: 2158 Judicial Dr, Germantown, TN 38138-3823
Phone: (901) 571-8911
Mailing address: 10942 Lexington Dr, Olive Branch, MS 38654-9317

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 13442 (TN)

Other Social Worker providers in Tennessee →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence M9755 (MS)

Registry record

NPI: 1124625041
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2020
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.