CANDACE WILSON (NPI# 1962026906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962026906 |
| Entity Type | Individual |
| Full Name | CANDACE WILSON |
| Credential | LMSW |
| Practice Address |
483 W Seed Farm Rd Sacaton AZ 85147-5000 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 6025281200 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-18498 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS | LMSW-18498 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477954113 | Candace Wilson | Nurse's Aide | 160 Twin Lakes Dr, Longview, WA 98632-9143 | 2014-09-12 |
| 1205456217 | Candace Wilson | Student in an Organized Health Care Education/Training Program | 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 | 2020-04-20 |
| 1831694157 | Candace Wilson | Counselor | 1850 San Benito St, Hollister, CA 95023 | 2018-03-28 |
| 1154846988 | Candace Wilson | Social Worker | 3308 Tulane Ave Ste 407, New Orleans, LA 70119-7158 | 2017-08-14 |
| 1891192878 | Candace Dorothy Wilson | Counselor | 1314 Park Ave, Plainfield, NJ 07060-3253 | 2014-11-19 |
| 1417352915 | Candace Wilson | Nurse Practitioner | 1405 E Greenville St, Anderson, SC 29621-2049 | 2014-10-27 |
| 1235290511 | Candace L Wilson | Hospitalist | 1500 Forest Glen Rd, Holy Cross Hospital, Silver Spring, MD 20910-1460 | 2006-12-12 |
| Street Address |
483 W SEED FARM RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266883 | Karin B Fisk | Nurse Practitioner | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2005-09-22 |
| 1639786890 | Juliandra Bailon | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-09-30 |
| 1922624535 | Joyce Mary Blair | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-19 |
| 1881219095 | Olivia Rae Hoylman | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-12 |
| 1225652050 | Sarah David | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-08 |
| 1154943678 | Joni Delaney | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-05-07 |
| 1700406808 | Clara Terrazas | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-04-20 |
| 1326676958 | Debra Lee Cockrell | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-30 |
| 1295362101 | Adriane Miles | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-23 |
| 1265068548 | Holly B Commander | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| Find all providers in zip 85147 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346662 | Kimberly Marie Padilla | Social Worker | 483 W Seed Farm Rd Bldg 4, Sacaton, AZ 85147-5000 | 2019-10-03 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1700406808 | Clara Terrazas | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-04-20 |
| 1598394660 | Robert Wade Brandimore | Social Worker | 291 W Casa Blanca Rd., Bldg. 7, Sacaton, AZ 85147 | 2020-04-02 |
| 1972144335 | Calista Heath-martinez | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-10-07 |
| 1831747104 | Chloe Selina | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-08-29 |
| 1225684152 | Stephanie Seigla | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-08-15 |
| 1588130918 | John L Duffy | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-10-24 |
| 1821579780 | Ina Blue | Social Worker | 483 W. Seed Farm Road, Sacaton, AZ 85147 | 2018-08-28 |
| Find all providers in SACATON | ||||
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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.