Candace L Worthington, LMSW

Individual provider Active NPI Clinical Social Worker · Munising, MI

NPI 1386780674 · NPPES record last updated Oct 28, 2008

Key facts

NPI
1386780674
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801066695 (MI)
Practice address
622 W Superior St
Munising, MI 49862-1329
Phone
(906) 387-4721
Fax
(906) 387-1750
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6801066695MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Services of the Upper Peninsula Inc Past
since Sep 1, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801066695 MI Yes

Addresses

Primary practice location

622 W Superior St
Munising, MI 49862-1329

Mailing address

622 W Superior St
Munising, MI 49862-1329
Phone (906) 387-4721

Other providers in Munising, MI

All providers in Munising, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.