Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Cannon, LCSW

Individual provider Clinical Social Worker · NPI 1760731178

Heather Cannon, LCSW is a Clinical Social Worker in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

758 NW Rainbow St
Port St Lucie, FL 34983-8309
Phone: (772) 834-4872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW12512 (FL)

Record details

NPI number1760731178
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 6, 2023
Certification dateAugust 6, 2023

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