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

Mary Elizabeth Cannon, LCSW

Individual provider Clinical Social Worker · NPI 1700343530

Mary Elizabeth Cannon, LCSW is a Clinical Social Worker in San Antonio, Texas. Qualified in 2012, 14 years ago. Practices with Progressive Behavioral Health, PLLC, a 361-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4203 Woodcock Dr Ste 216
San Antonio, TX 78228-1312
Phone: (210) 564-9116
Fax: (210) 564-9087
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 58351 (TX)

Record details

NPI number1700343530
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 28, 2019
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Progressive Behavioral Health, Pllc — 361 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Antonio