Candra K Bacote, LMSW
Individual provider Active NPI Case Manager/Care Coordinator · Bridgeport, CT
NPI 1194196352 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1194196352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 170 Bennett St
Bridgeport, CT 06605-2901 - Phone
- (203) 330-6790
- Fax
- (203) 330-6756
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
170 Bennett St
Bridgeport, CT 06605-2901
Mailing address
170 Bennett St
Bridgeport, CT 06605-2901
Phone (203) 330-6790
Other providers in Bridgeport, CT
- Abra Aziagbe-Zilevu
- Omar Azrak
- Hannah Fathima Babu
- Chenae Bacchus
- Joshua Back
- Mohamed Badawy
- Lewis M Bader
- Mohamed Badheeb
- Myung-Hyun Bae
- Karoona Bai
All providers in Bridgeport, CT · Case Manager/Care Coordinator in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.