Candace R Kerwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW75962 Issued in CA

Practice address

1018 21St St
Bakersfield, CA 93301-4709

Phone

(661) 861-9967

Fax

(661) 861-0339

NPI assigned

Mar 2, 2011

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1407154362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W CECIL AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932151821",
            "telephone_number": "661-861-9967",
            "fax_number": "661-861-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 21ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014709",
            "telephone_number": "661-861-9967",
            "fax_number": "661-861-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "CANDACE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kern Valleyidence Opco, LLC
• Kern Women'S Health Group
• Blake Kerr, CSWII MSW
• Nicole Carolyn Kerr, C.O
• Salina Regina Kerr
• Brett V Kesler, D.P.M.
• Ketamine Ca PC
• Kevin D. Trinh, MD and John L. Brazill, MD, a Medical Corp.
• Kevin Holiwell O.D.,Aoc
• Kevin Kobliska DMD Inc

• Clinical Social Worker in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.