Individual provider Active NPI

Jennifer Candela, LCSW

  • Social Worker
  • Middletown, NY
National Provider Identifier
1104050145
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
083770-1 Issued in NY
Practice address
16 Union St
Middletown, NY 10940-4906
Phone
(845) 343-5556
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 083770-1 NY Primary

Addresses

Primary practice location

16 Union St
Middletown, NY 10940-4906

Mailing address

16 Union St
Middletown, NY 10940-4906
Phone (845) 343-5556

Other practice location 1

25 Main St
Goshen, NY 10924-2144
Phone (845) 741-3211

Other names 1

  • Jennifer Schoonmaker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130710000675 NY Practitioner - Clinical Social Worker 2365682689 Practice locations: Goshen, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Main St
Suite 2 2
Goshen, NY 10924-2144
Phone (845) 741-3211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083770-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elora L Kalish LCSW Psychotherapy PLLC PastSince Oct 28, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1104050145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 UNION ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404906",
            "telephone_number": "845-343-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 UNION ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404906",
            "telephone_number": "845-343-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Main St",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242144",
            "country_code": "US",
            "telephone_number": "845-741-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELA",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083770-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHOONMAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.