Individual provider Active NPI

Candy Tafari Greenlee, LCSW

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1013240100
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60090 Issued in CA
Practice address
4025 W 226TH St
Torrance, CA 90505-2340
Phone
(310) 373-4556
Fax
(310) 375-1784
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60090 CA Primary

Addresses

Primary practice location

4025 W 226TH St
Torrance, CA 90505-2340

Mailing address

4025 W 226TH St
Torrance, CA 90505-2340
Phone (310) 373-4556

Other names 1

  • Candi Tafari Greenlee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913001317 NV Practitioner - Clinical Social Worker 3779947510 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hygeia Wellness Center LLC Clinical CurrentSince May 23, 2023 Accepting new patients
Labante Counseling & Education Services CurrentSince Oct 1, 2024 Accepting new patients

Locations

4580 S Eastern Ave
Ste 31
Las Vegas, NV 89119
Phone (725) 314-8472

2810 W Charleston Blvd
Ste 77
Las Vegas, NV 89102
Phone (702) 445-6323

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1013240100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W 226TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052340",
            "telephone_number": "310-373-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W 226TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052340",
            "telephone_number": "310-373-4556",
            "fax_number": "310-375-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "CANDY",
        "middle_name": "TAFARI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "60090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDI",
            "last_name": "GREENLEE",
            "middle_name": "TAFARI",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.