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

Justin Deandre Cannon, LCSW

Individual provider Social Worker · NPI 1639826936

Justin Deandre Cannon, LCSW is a Clinical Social Worker in Houston, Texas. Qualified in 2018, 8 years ago. Practices with Jewish Family Service, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2022
Specialties on file
2
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

4131 S Braeswood Blvd
Houston, TX 77025-3392
Phone: (713) 667-9336
Fax: (713) 667-3619
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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 104745 (TX)
Social Worker Taxonomy 104100000X · Licence 104745 (TX)

Record details

NPI number1639826936
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jewish Family Service — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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