OrganizationActive
Cannon Consulting Services LLC
NPI 1346079753 · Clinical Social Worker · Port St Lucie, FL
Provider details
- NPI number
- 1346079753
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jason Cannon, Business Manager(772) 206-0334
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
758 Nw Rainbow St
Port St Lucie, FL 34983-8309
Phone: (772) 206-0334
Street-level locationGet directions
Mailing address
758 Nw Rainbow St
Port St Lucie, FL 34983-8309
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.