Individual provider Active NPI

Candiss Hollie, LSW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1467977298
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1700940 Issued in OH
Practice address
4850 Madison Road
Cincinnati, OH 45227-1428
Phone
(513) 832-2884
Fax
(513) 351-1780
NPI assigned
Aug 14, 2017
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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 S.1700940 OH Primary

Addresses

Primary practice location

4850 Madison Road
Cincinnati, OH 45227-1428

Mailing address

4850 Madison Road
Cincinnati, OH 45227-1428
Phone (513) 832-2884

Other names 1

  • Candiss Green Former name

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

LicenseStateTypeSpecialty
S.1700940OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lucy Lu's Transportation Services, Inc. Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1467977298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 MADISON ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271428",
            "telephone_number": "513-832-2884",
            "fax_number": "513-351-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 MADISON ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271428",
            "telephone_number": "513-832-2884",
            "fax_number": "513-351-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIE",
        "first_name": "CANDISS",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDISS",
            "last_name": "GREEN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.