IndividualActive
Teresa Cannon, LMSW
NPI 1306867064 · Social Worker · College Station, TX
Provider details
- NPI number
- 1306867064
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 15534 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1605 Rock Prairie Rd Ste 212
Bryan College Station Outpatient Clinic
College Station, TX 77845-8358
Phone: (979) 680-0361
Fax: (979) 693-2962
Street-level locationGet directions
Mailing address
3712 Ravenwood Drive
Bryan, TX 77802
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.