Active NPI
Candance Hawkins, MSW
- Addiction (Substance Use Disorder) Counselor
- Beckley, WV
National Provider Identifier
1013490838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- BP00945284
- Practice address
- 1810 Harper Rd
Beckley, WV 25801-3331 - Phone
- (681) 207-7123
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BP00945284 | WV | Primary |
Addresses
Primary practice location
1810 Harper Rd
Beckley, WV 25801-3331
Mailing address
136 Goodman Dr
Beckley, WV 25801-9626
Phone (304) 255-7049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP00945284 | Other | WV | GRADUATE SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00945284 | WV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Surg Physician Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16151/brand/2/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Specialist
- Beckley, WV
- NPI 1063943678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1013490838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 GOODMAN DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258019626",
"telephone_number": "304-255-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 HARPER RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013331",
"telephone_number": "681-207-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "CANDANCE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WV",
"license": "BP00945284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRADUATE SOCIAL WORKER",
"identifier": "BP00945284",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.