Kandyce Rhynea' Underwood, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016965 Issued in NC

Practice address

732 Davis Ave
Whiteville, NC 28472-6002

Phone

(910) 640-1038

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1689750663
  NPD
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1902100019

  Clinical

  NPD (past)

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1326701715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 DAVIS AVE",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284726002",
            "telephone_number": "910-640-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 DAVIS AVE",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284726002",
            "telephone_number": "910-640-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KANDYCE",
        "middle_name": "RHYNEA'",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Nicole Turner, FNP
• Lucinda Turner
• Carolyn Marie Tutwiler, MHDL, LCAS, CCS
• Meishelle Bost Tyson, PTA
• Otto Damasus Umana, MD
• Karlie Underwood, PTA
• Precious Uzoma-Opara, FNP-C
• Angel Vazquez, MD
• Veronica Crawley, Ma, LPC, NCC, PLLC
• W.Sidney Gibson, DDS, PA

• Clinical Social Worker in Whiteville, NC
• Providers in Whiteville, 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 Oct 21, 2021; 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.