Active NPI
McCandless Petty
- Clinical Social Worker
- Portsmouth, NH
National Provider Identifier
1457767303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 90144
- Practice address
- 2456 Lafayette Rd
Portsmouth, NH 03801-5624 - Phone
- (415) 322-8812
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 90144 | CA | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
2456 Lafayette Rd
Portsmouth, NH 03801-5624
Mailing address
2456 Lafayette Rd
Portsmouth, NH 03801-5624
Phone (415) 322-8812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90144 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457767303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 LAFAYETTE RD",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015624",
"telephone_number": "415-322-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 LAFAYETTE RD",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015624",
"telephone_number": "415-322-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "MCCANDLESS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "90144",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.