Individual provider Active NPI

Candace Jean Anderson, MSW, LICSW

  • Clinical Social Worker
  • North St Paul, MN
National Provider Identifier
1093570541
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29981 Issued in MN
Practice address
2497 7TH Ave E Ste 101
North St Paul, MN 55109-2946
Phone
(651) 769-6400
Fax
(651) 769-6449
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 29981 MN Primary

Addresses

Primary practice location

2497 7TH Ave E Ste 101
North St Paul, MN 55109-2946

Mailing address

2497 7TH Ave E Ste 101
North St Paul, MN 55109-2946
Phone (651) 769-6400

Other names 1

  • Ms. Candace Jean Osborne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240401000340 MN Practitioner - Clinical Social Worker 4688012362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhsi LLCGroup PAC ID 3274504816, 33 clinicians

Practice addresses (Care Compare)

2497 7TH Ave E
Suite 101
North St Paul, MN 55109-2946
Phone (651) 769-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Homes, Inc. CurrentSince May 29, 2024 Accepting new patients
Bhsi, LLC CurrentSince Mar 1, 2024 Accepting new patients
Horizon Homes, Inc. PastSince Jun 26, 2022 Accepting new patients
Horizon Homes, Inc PastSince Jun 26, 2022 Accepting new patients

Locations

306 Byron St
Mankato, MN 56001
Phone (507) 344-3361

2497 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 769-6400

2497 7th Ave E
Saint Paul, MN 55109
Phone (651) 387-2165

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/horizonhomes/r4/

Organizations & group practices 4

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1093570541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E STE 101",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092946",
            "telephone_number": "651-769-6400",
            "fax_number": "651-769-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E STE 101",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092946",
            "telephone_number": "651-769-6400",
            "fax_number": "651-769-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CANDACE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "OSBORNE",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North St Paul, MN

Sources for this page

Verify at the official NPI Registry.