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

Individual provider Clinical Social Worker · NPI 1205969623

Mr. Tucker Croxall Cannon, LCSW is a Clinical Social Worker in Altadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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

2046 Allen Ave Rm 100
Altadena, CA 91001-3424
Phone: (626) 660-9419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence 28707 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 28707 (CA)
School Social Worker Taxonomy 1041S0200X · Licence 18784 (CA)

Record details

NPI number1205969623
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESNovember 2, 2012

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