Candace P Creel, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5180 Issued in SC

Practice address

222 Varnfield Dr Ste a
Summerville, SC 29483-7345

Phone

(843) 297-0091

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laurel Services, LLC

  • Community/Behavioral Health Agency
  • Harleyville, SC
  • NPI 1952659047
  NPD (past) Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1376832378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GAVINS RD",
            "city": "HARLEYVILLE",
            "state": "SC",
            "postal_code": "294483745",
            "telephone_number": "843-297-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VARNFIELD DR STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837345",
            "telephone_number": "843-297-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEL",
        "first_name": "CANDACE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1169",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Clayton Crantford, M.D.
• Cynthia Searcy Crawford, PHD, LPC-MHSP
• Dennis Colby Crawford, RN
• Elona Colette Crawford, MS
• Kristin Pirolli Crawford
• Bonnie L. Crickman, MD
• Sarah Margaret Crickman, MD
• Susan Crocker, MD
• Candice Crofford
• Crosby Coastal Therapy, LLC

• Clinical Social Worker in Summerville, SC
• Providers in Summerville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.