CANDICE SMITH (NPI# 1487835567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487835567 |
| Entity Type | Individual |
| Full Name | CANDICE SMITH |
| Credential | LCSW |
| Practice Address |
16067 M. L. K. Dr. Tchula MS 39169-0518 |
| Mailing Address |
Po Box 518 Tchula MS 39169-0518 |
| Practice Telephone | 6622993264 |
| Mailing Telephone | 6622993264 |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C7516 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861732133 | Candice Rene Smith | Physical Therapy Assistant | 9751 W 85th St, Apt A, Overland Park, KS 66212-4516 | 2013-02-25 |
| 1811184088 | Candice K Smith | Pediatrics | 1699 Baywood Dr, Concord, CA 94521-1252 | 2007-10-01 |
| 1164067088 | Candice Smith | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-11-14 |
| 1861053506 | Candice Renee Smith | Social Worker | 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101 | 2019-06-24 |
| 1053881359 | Candice Smith | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-11-29 |
| 1972001105 | Candice Smith | Social Worker | 2401 Hartman St, Richmond, VA 23223-2458 | 2018-01-23 |
| 1578093308 | Candice Smith | Counselor | 2653 W Ogden Ave Fl 2, Chicago, IL 60608-1647 | 2017-06-14 |
| 1114462231 | Candice Lin Smith | Psychologist | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-12-28 |
| 1285097345 | Candice Rachel Smith | Counselor | 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 | 2016-04-05 |
| 1306225008 | Candice Smith | Nurse Practitioner | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-05-27 |
| Street Address |
16067 M. L. K. DR. |
| City | TCHULA |
| State | MS |
| Zip Code | 39169-0518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457842585 | Heaven Sent Foot Healthcare, Plcc | Nursing Care | 160 Cypress Street, Tchula, MS 39169 | 2018-05-24 |
| 1417208422 | Doris Alexander | Adult Companion | 978 Main Street, Tchula, MS 39169 | 2012-10-01 |
| 1205104387 | Dealice Nikita Young | Registered Nurse | 160 Cypress St, Tchula, MS 39169 | 2011-12-05 |
| 1992946263 | The Myers Foundation Christian Family Health Centers | Specialist | 15548 Hwy. 49 East, Suite A, Tchula, MS 39169 | 2009-03-17 |
| 1447434642 | Thomas Ross | Audiologist | 605 Poplar St, Tchula, MS 39169 | 2007-12-24 |
| 1306038567 | Thomas Ross | Audiologist | 605 Poplar St., Tchula, MS 39169 | 2007-08-13 |
| 1881713519 | Mallory Community Health | Clinic/Center | 9715 Highway 12 W, Tchula, MS 39169 | 2007-03-27 |
| 1891829677 | Glenn Daniel Roberts | Pharmacist | 112 Mercer St, Tchula, MS 39169 | 2007-03-15 |
| 1013053842 | Gdr, Inc | Pharmacy | 112 Mercer Street, Tchula, MS 39169 | 2007-01-29 |
| 1821099482 | Rhonda Givens-boles | Nurse Practitioner | 110 Mercer Street, Tchula, MS 39169 | 2005-08-04 |
| Find all providers in zip 39169 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1962019745 | Jennifer Baker Sheridan | Social Worker | 615 W Pine St, Hattiesburg, MS 39401-3835 | 2020-09-25 |
| 1093321192 | Kristy Lynn Staten | Social Worker | 506 W Marion Ave Ste A, Crystal Springs, MS 39059-2720 | 2020-09-23 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1134731102 | Vicki Arlene Blaize | Social Worker | 178 Pat Harrison St, Biloxi, MS 39530-3425 | 2020-08-20 |
| 1245842657 | Ladonna S Day | Social Worker | 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232-3152 | 2020-08-18 |
| 1962012468 | Debra Diann Wuichet | Social Worker | 503 Maury Cir, Tupelo, MS 38801-4109 | 2020-08-09 |
| 1982214458 | Devin Ariel Williams | Social Worker | 1246 Beverly Hills Rd Apt 306, Hattiesburg, MS 39401-4483 | 2020-08-08 |
| 1770193559 | Brian Droubay | Social Worker | 703 Meadowlake Cv, Oxford, MS 38655-9662 | 2020-08-05 |
| 1386265601 | Dconstance Woodard | Social Worker | 117 Ashley Park Dr, Byram, MS 39272-6558 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.