Active NPI
Candace Marie Hoversten, LICSW
- Clinical Social Worker
- Dassel, MN
National Provider Identifier
1255014700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28734
- Practice address
- 261 Atlantic Ave W
Dassel, MN 55325-2208 - Phone
- (320) 583-5797
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28734 | MN | Primary |
Addresses
Primary practice location
261 Atlantic Ave W
Dassel, MN 55325-2208
Mailing address
113 Willow Dr
Delano, MN 55328-9436
Phone (320) 339-1930
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28734 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1255014700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WILLOW DR",
"city": "DELANO",
"state": "MN",
"postal_code": "553289436",
"telephone_number": "320-339-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 ATLANTIC AVE W",
"city": "DASSEL",
"state": "MN",
"postal_code": "553252208",
"telephone_number": "320-583-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVERSTEN",
"first_name": "CANDACE",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "28734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dassel, MN
- Charger Chiropractic & Soft Tissue Center P.C.
- Shane Mathew Colberg, DC
- County of Meeker (Meeker Memorial Hospital & Clinics)
- Carolyn Genette Decker, L.D.
- Sierra Jean Geritz, M.S., CCC-SLP
- Hutchinson Area Health Care (Dassel Medical Center)
- Hutchinson Health (Hutchinson Health Dassel Clinic)
- Jenna Lite Kamphenkel, RN
- Kenneth D. Ness, DDS, PC
- Talia Jordan Kramer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.