Organization Active NPI

Candelen

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1003567850
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CANDELEN
Practice address
777 E Thomas Rd # 200
Phoenix, AZ 85014-5449
Phone
(480) 829-0500
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Newhouse
Title
Chief Executive Officer
Phone
(480) 829-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

777 E Thomas Rd # 200
Phoenix, AZ 85014-5449

Mailing address

777 E Thomas Rd # 200
Phoenix, AZ 85014-5449
Phone (480) 829-0500

National Provider Directory

National Provider Directory

Locations

777 E Thomas Rd
Ste 200
Phoenix, AZ 85014
Phone (480) 829-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1003567850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E THOMAS RD # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145449",
            "telephone_number": "480-829-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E THOMAS RD # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145449",
            "telephone_number": "480-829-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDELEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-829-0500"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.