Individual provider Active NPI

Candance Morley, LCSW

  • Clinical Social Worker
  • Opa Locka, FL
National Provider Identifier
1346640851
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11867 Issued in FL
Practice address
2310 NW 152ND St
Opa Locka, FL 33054-2720
Phone
(305) 926-1154
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11867 FL Primary

Addresses

Primary practice location

2310 NW 152ND St
Opa Locka, FL 33054-2720

Mailing address

2310 NW 152ND St
Opa Locka, FL 33054-2720
Phone (305) 926-1154

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TN, TX, MA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180913001453 GA Practitioner - Clinical Social Worker 5193075018 Reassigns benefits to 3 organizations
I20241003001895 FL Practitioner - Clinical Social Worker 5193075018 Reassigns benefits to 1 organization
I20250102000333 TN Practitioner - Clinical Social Worker 5193075018 Reassigns benefits to 1 organization
I20250122003714 TX Practitioner - Clinical Social Worker 5193075018 Reassigns benefits to 1 organization
I20250428001697 MA Practitioner - Clinical Social Worker 5193075018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9475TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group CurrentSince Mar 12, 2018 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 27, 2024 Accepting new patients
Conquer Counseling and Consulting LLC Clinical CurrentSince Mar 26, 2023 Accepting new patients
Personal Recovery Network LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1808 Over Lake Dr SE
Ste D
Conyers, GA 30013
Phone (770) 648-1308

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

4255 Wade Green Rd NW
Ste 414
Kennesaw, GA 30144
Phone (678) 439-9952

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: candance.morley.1@25307.direct.athenahealth.com

Organizations & group practices 4

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1346640851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 NW 152ND ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542720",
            "telephone_number": "305-926-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NW 152ND ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542720",
            "telephone_number": "305-926-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLEY",
        "first_name": "CANDANCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2400 Mount Zion Pkwy",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.