Individual provider Active NPI

Cynthia Kandaya, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1366095556
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014430 Issued in NC
Practice address
14125 Steele Creek Rd
Charlotte, NC 28273-3968
Phone
(704) 283-9163
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801118874 MI
Clinical Social Worker 1041C0700X 44SC06514800 NJ
Clinical Social Worker 1041C0700X CSW009957 GA
Clinical Social Worker 1041C0700X 17956 SC
Clinical Social Worker 1041C0700X 26646-C AZ
Clinical Social Worker 1041C0700X 14656 CT
Clinical Social Worker 1041C0700X 0904017310 VA
Clinical Social Worker 1041C0700X 089.0136418 VT
Clinical Social Worker 1041C0700X C-11379 MS
Clinical Social Worker 1041C0700X 098832 NY
Clinical Social Worker 1041C0700X 26646-C AR
Clinical Social Worker 1041C0700X C014430 NC Primary
Clinical Social Worker 1041C0700X 34011473A IN

Addresses

Primary practice location

14125 Steele Creek Rd
Charlotte, NC 28273-3968

Mailing address

2901 Wesley Chapel Stouts Rd
Monroe, NC 28110-7940
Phone (866) 389-2727

Other practice location 1

2901 Wesley Chapel Stouts Rd
Monroe, NC 28110-7940
Phone (704) 207-0995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250718003185 SC Practitioner - Clinical Social Worker 2466849849 Reassigns benefits to 1 organization
I20250919002308 NJ Practitioner - Clinical Social Worker 2466849849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26646-CARMDClinical Social Worker
26646-CAZMDClinical Social Worker
14656CTMDClinical Social Worker
CSW009957GAMDClinical Social Worker
C-11379MSMDClinical Social Worker
C014430NCMDClinical Social Worker
098832NYMDClinical Social Worker
089.0136418VTMDClinical Social Worker
17956SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Professional CurrentSince Dec 23, 2024 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Professional CurrentSince Dec 18, 2024 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Professional CurrentSince Jul 3, 2025 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Clinical CurrentSince Dec 18, 2024 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Professional CurrentSince Aug 11, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Professional CurrentSince Dec 18, 2024 Accepting new patients
Medical Group of New York, P.C. Professional CurrentSince Jan 13, 2025 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

519 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-1045

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Organizations & group practices 7

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1366095556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WESLEY CHAPEL STOUTS RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107940",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 STEELE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733968",
            "telephone_number": "704-283-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Wesley Chapel Stouts Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281107940",
            "country_code": "US",
            "telephone_number": "704-207-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDAYA",
        "first_name": "CYNTHIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118874",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06514800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009957",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "26646-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C-11379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098832",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "26646-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014430",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011473A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.