Candes Nicole Anderson-Gray, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115503 Issued in MI

Practice address

29550 Five Mile Rd
Livonia, MI 48154-3710

Phone

(800) 395-3223

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

Yes

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.

• Stepping Stone San Diego

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1083388854
  NPD
• Stepping Stone of San Diego, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1013045905
  NPD (past)

• Candes Nicole Gray Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2023.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1114559754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "800-395-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29550 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543710",
            "telephone_number": "800-395-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3767 Central Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921052506",
            "country_code": "US",
            "telephone_number": "619-584-4010 x113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON-GRAY",
        "first_name": "CANDES",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Steppingstonesd.org",
            "affiliation": "N",
            "address_1": "3767 Central Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921052506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDES",
            "last_name": "GRAY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amor & Raj LLC
• Megan Therese Amos, DO
• Jamie E Amster, PA
• Andan Chiropractic Clinic, P.C.
• Andersen Eye Prosthetics LLC
• Alexis Lynn Anderson
• Arden Marie Anderson, BEHAVIOR TECHNICIAN
• Danielle M Anderson
• Jeffrey Scott Anderson, CCP
• Kathleen M Anderson

• All providers in Livonia, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.