Individual provider Active NPI

Candace M Marriner, LCSW

  • Mental Health Counselor
  • Waterville, ME
National Provider Identifier
1174785430
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC12959 Issued in ME
Practice address
93 Silver St
Waterville, ME 04901-5923
Phone
(207) 873-4253
NPI assigned
Jun 27, 2008
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC12959 ME Primary

Addresses

Primary practice location

93 Silver St
Waterville, ME 04901-5923

Mailing address

PO Box 5
Bucksport, ME 04416-0005
Phone (207) 945-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20210317001327 ME Practitioner - Clinical Social Worker 4082020045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Maine Children's Home for Little WanderersGroup PAC ID 4486610201, 3 clinicians

Practice addresses (Care Compare)

93 Silver St
Waterville, ME 04901-5923
Phone (207) 873-4253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Maine Children's Home for Little Wanderers CurrentSince Mar 23, 2025 Accepting new patients

Locations

93 Silver St
Waterville, ME 04901
Phone (207) 873-4253

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1174785430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044160005",
            "telephone_number": "207-945-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015923",
            "telephone_number": "207-873-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRINER",
        "first_name": "CANDACE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC12959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.