Active NPI
Jennifer Candela, LCSW
- Social Worker
- Middletown, NY
National Provider Identifier
1104050145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 083770-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 083770-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elora L Kalish LCSW Psychotherapy PLLC | Past | 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.
-
- Clinical Social Worker
- Goshen, NY
- NPI 1942860341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.