Candace Wheeler, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

469 Issued in NH

Practice address

58 Washington St Ste 1
Portsmouth, NH 03801-2044

Phone

(603) 559-9912

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1386751469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WASHINGTON ST STE 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012044",
            "telephone_number": "603-559-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WASHINGTON ST STE 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012044",
            "telephone_number": "603-559-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CANDACE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104082",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042382",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew E Werchniak, MD
• Danielle Elizabeth West, DDS
• Kaitlyn O'Connell West, DMD
• Tamara Whalen
• Neal Christopher Wheaton, DO
• Janice Priscilla Wheeler, LMT
• Katherine Wheeler, LICSW
• Alanna White
• David White
• Emily White

• Clinical Social Worker in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.