Candace Carle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SCSW-LIC-32951 Issued in MT

Practice address

4301 Wilson St
Fort Sill, OK 73503-4472

Phone

(580) 442-4764

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1285280115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E FRONT ST STE 513",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015209",
            "telephone_number": "406-565-5154",
            "fax_number": "406-565-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-442-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLE",
        "first_name": "CANDACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SCSW-LIC-32951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Embertson Bundy, DDS
• Jarom R Burbank, DDS
• Brenda D Bustillos, MS, RD, LD
• Stephen Michael Byrne, DDS
• Michelle R Cannon, MS, LPC
• Kelly E Carlen, DDS
• Edwin Carns Jr., MD
• Patti Yvonne Chaney, RN
• Bethany Lynne Chappell, DPT
• Kalyan Chattopadhyay, MD

• Clinical Social Worker in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Clinical Social Worker in Oklahoma

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

Verify at the official NPI Registry.