Individual provider Active NPI

Kandice L Cowherd

  • Social Worker
  • Queen Creek, AZ
National Provider Identifier
1437466869
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-07026 Issued in NM
Practice address
21479 E Pecan LN
Queen Creek, AZ 85142-5452
Phone
(971) 713-4455
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-07026 NM Primary

Addresses

Primary practice location

21479 E Pecan LN
Queen Creek, AZ 85142-5452

Mailing address

21479 E Pecan LN
Queen Creek, AZ 85142-5452
Phone (971) 713-4455

Other names 1

  • Kandice L Fox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AR, NM, ND, OR, CA, CT, ME8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20250204001680 AZ Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20250716004411 AR Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20250716004416 NM Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20250722002323 ND Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20250722003893 OR Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20250814002408 CA Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20251231000352 CT Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization
I20260203000960 ME Practitioner - Clinical Social Worker 0244760403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1637 W Sleepy Ranch Rd
Phoenix, AZ 85085-8066
Phone (814) 333-8467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-07026NMMDSocial Worker
132128CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network Ca PC CurrentSince Jul 30, 2025 Accepting new patients
Talkspace Provider Network PA CurrentSince Jan 1, 2025 Accepting new patients
Manely Hope and Healing, PLLC PastSince May 25, 2025 Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1437466869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21479 E PECAN LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425452",
            "telephone_number": "971-713-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21479 E PECAN LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425452",
            "telephone_number": "971-713-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWHERD",
        "first_name": "KANDICE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-07026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDICE",
            "last_name": "FOX",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.