Candace Longo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5648 Issued in TN

Practice address

1061 Lewisburg Pike
Franklin, TN 37064-6727

Phone

(615) 790-0567

Fax

(615) 595-8030

NPI assigned

Jun 12, 2017

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Candace Wagner Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 29)

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

• Mercy Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Franklin, TN
  • NPI 1952480501
  Medicare reassignment NPD
• Camelot Care Centers, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  NPD (past)
• Mercy Health Service - Fairview High School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1164960589
  NPD (past)
• Mercy Health Services - Fairview Elementary School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1679010722
  NPD (past)
• Mercy Health Services - Fairview Middle School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1730627159
  NPD (past)
• Mercy Health Services - New Hope Academy

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, TN
  • NPI 1063950483
  NPD (past)
• Mercy Health Services - Westwood Elementary School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1518405935
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1063941193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 LEWISBURG PIKE",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370646727",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E James Campbell Blvd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-462-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Murfreesboro Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370641318",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGO",
        "first_name": "CANDACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5648",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "WAGNER",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Long, DDS
• Rita G Long, APRN
• Ruth B Long, M.D.
• Kathryn Ann Longest, DPH
• Longitude Health LLC
• Longpoint Dental LLC (Longpoint Dental)
• Look Nash Dental
• Look Nash Vision LLC (Look Vision)
• Looking Ahead Pediatric Physical Therapy, PLLC
• Colin Guy Looney, M.D.

• Clinical Social Worker in Franklin, TN
• Providers in Franklin, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.