Individual provider Active NPI

Candi Lynn Sisterhenm, LCSW

  • Social Worker
  • Fitchburg, MA
National Provider Identifier
1235939208
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW229497 Issued in MA
Practice address
76 Summer St Ste 145a
Fitchburg, MA 01420-0200
Phone
(978) 309-1902
Fax
(978) 268-5768
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LCSW229497 MA Primary

Addresses

Primary practice location

76 Summer St Ste 145a
Fitchburg, MA 01420-0200

Mailing address

76 Summer St Ste 145a
Fitchburg, MA 01420-0200
Phone (978) 309-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW229497MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Perspectives CurrentSince Mar 24, 2025 Accepting new patients

Locations

76 Summer St
Ste 145A
Fitchburg, MA 01420
Phone (978) 309-1902

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1235939208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST STE 145A",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014200200",
            "telephone_number": "978-309-1902",
            "fax_number": "978-268-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST STE 145A",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014200200",
            "telephone_number": "978-309-1902",
            "fax_number": "978-268-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTERHENM",
        "first_name": "CANDI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW229497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.