Candra Nikita Edwards

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015225 Issued in NC

Practice address

3002 Resilience Way
Goldsboro, NC 27534-8067

Phone

(910) 990-1190

Fax

(919) 288-1276

NPI assigned

Jan 6, 2020

Last updated

Aug 25, 2026By the provider in NPPES

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Well Counseling Services, PLLC

  • Clinical Social Worker
  • Goldsboro, NC
  • NPI 1760183644
  Medicare reassignment NPD Authorized official
• Bridgewell Residential Services, LLC

  dba BridgeWell Residential Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Goldsboro, NC
  • NPI 1396692448

  Clinical

  NPD Authorized official
• Wayne Cares Inc.

  • Voluntary or Charitable Agency
  • Goldsboro, NC
  • NPI 1518414465
  NPD (past)
• Waynesboro Family Clinic

  • Mental Health Counselor
  • Goldsboro, NC
  • NPI 1760417570
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1316586456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 TIBURON CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347085",
            "telephone_number": "919-988-8062",
            "fax_number": "919-288-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 RESILIENCE WAY",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348067",
            "telephone_number": "910-990-1190",
            "fax_number": "919-288-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 McLain St",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275347723",
            "country_code": "US",
            "telephone_number": "919-988-8062",
            "fax_number": "919-288-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 McLain St.",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "27534",
            "country_code": "US",
            "telephone_number": "919-988-8062",
            "fax_number": "919-288-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3002 Central Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275347704",
            "country_code": "US",
            "telephone_number": "919-988-8062",
            "fax_number": "919-288-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CANDRA",
        "middle_name": "NIKITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 11377)
• Edc Drug Stores Inc (Rite Aid Pharmacy 11375)
• Edc Drug Stores Inc (Rite Aid Pharmacy 11376)
• Ronnie Elaine Edmundson, NP
• Edwards Behavioral Health Services Inc
• Shana Edwards, CRNA
• Vance H Edwards, M.D.
• Wiley Edwards Jr.
• Edwargroup,LLC
• Adekunbi Etseogboya Egwakhe, MD

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.