Jennifer Lynn Candice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013022897 Issued in MO

Practice address

556 Leffingwell Ave FL 2
Kirkwood, MO 63122-6453

Phone

(314) 301-9300

Fax

(314) 301-9304

NPI assigned

Jan 6, 2022

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 MO

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Resolute Counseling and Wellness

  • Clinical Social Worker
  • Kirkwood, MO
  • NPI 1881347417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1366103723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 LEFFINGWELL AVE FL 2",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226453",
            "telephone_number": "314-301-9300",
            "fax_number": "314-301-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 LEFFINGWELL AVE FL 2",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226453",
            "telephone_number": "314-301-9300",
            "fax_number": "314-301-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDICE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013022897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Budreau, PSY.D.
• Sarah Buehner, LCSW
• Elizabeth Burke
• Andrea Burton
• Ann Marie Cahill, OTR
• Cardio and Vascular Imaging LLC
• Alexandria Carico, DPT
• Caroline Menousek LLC
• Erin Nicole Carr, BA
• Chandra Shekar, PC

• Clinical Social Worker in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.