Active NPI
Candiss Nicole Wolle, SWC
- Clinical Social Worker
- Cortez, CO
National Provider Identifier
1346882453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09932833
- Practice address
- 418 S Sligo St
Cortez, CO 81321-4718 - Phone
- (970) 565-4855
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09932833 | CO | Primary |
| Clinical Social Worker | 1041C0700X | SWC0000001202 | CO | |
| Behavior Technician | 106S00000X | RBT-19-101341 | CO |
Addresses
Primary practice location
418 S Sligo St
Cortez, CO 81321-4718
Mailing address
PO Box 1581
Dolores, CO 81323-1581
Phone (719) 619-6676
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | candisswolle@swhealth.cernerdirect.com | Direct |
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 |
|---|---|---|---|
| CSW.09932833 | CO | MD | Clinical Social Worker |
| SWC0000001202 | CO | MD | Clinical Social Worker |
| RBT-19-101341 | CO | MD | Behavior Technician |
Interoperability endpoints
- candisswolle@swhealth.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1346882453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1581",
"city": "DOLORES",
"state": "CO",
"postal_code": "813231581",
"telephone_number": "719-619-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 S SLIGO ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813214718",
"telephone_number": "970-565-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLE",
"first_name": "CANDISS",
"middle_name": "NICOLE",
"credential": "SWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09932833",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "SWC0000001202",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-19-101341",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "candisswolle@swhealth.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "SMG School Based Health Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "418 S Sligo St",
"city": "Cortez",
"state": "CO",
"country_code": "US",
"postal_code": "813214718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.