Teresa Smith Candido, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

NH 1444 Issued in NH

Practice address

67 Etna Rd
Suite 350
Lebanon, NH 03766-1455

Phone

(603) 448-0055

Fax

(603) 727-9042

NPI assigned

Oct 3, 2005

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Teresa Smith Candido Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cognitive-Behavioral Psychology Services of Long Island

  • Clinical Psychologist
  • Commack, NY
  • NPI 1861696817
  NPD (past)
• Cognitive-Behavioral Psychology Services of Long Island PLLC

  • Cognitive & Behavioral Psychologist
  • Commack, NY
  • NPI 1144523952
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1467449694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 ETNA RD",
            "address_2": "SUITE 350",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661455",
            "telephone_number": "603-448-0055",
            "fax_number": "603-727-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ETNA RD",
            "address_2": "SUITE 350",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661455",
            "telephone_number": "603-448-0055",
            "fax_number": "603-727-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDIDO",
        "first_name": "TERESA",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "NH 1444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "CANDIDO",
            "middle_name": "SMITH",
            "prefix": "MRS.",
            "credential": "GSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Reid Campbell, MD
• David George Campbell, M.D.
• Dewayne Campbell, DO
• Patricia J. Campbell
• Dominic Anthony Candido, PHD
• Alisa Gail Canillas
• Edward Anthony Cantos, MD
• Robert Victor Cantu, MD
• Kristin Cantwell
• Katrina Nicole Caouette, PHARMD

• Clinical Social Worker in Lebanon, NH
• Providers in Lebanon, 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 Sep 12, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.