Candice Walker, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102921 Issued in OH

Practice address

49 Johnson Rd
The Plains, OH 45780-1146

Phone

(740) 853-0103

NPI assigned

Sep 26, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Group Home LLCGroup PAC ID 7911407903, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

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.

• Phoenix Group Home, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  Medicare reassignment Care Compare group NPD
• Phoenix Group Home, LLC

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD
• L & P Services, Inc.

  • Public Health or Welfare Agency
  • Marietta, OH
  • NPI 1942289301

  Clinical

  NPD (past)
• Oriana House, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1730127176
  NPD (past)
• Oriana House, Inc.

  • Community/Behavioral Health Agency
  • Marietta, OH
  • NPI 1790249431
  NPD (past)
• Path Integrated Healthcare - WV LLC

  • Community/Behavioral Health Agency
  • Huntington, WV
  • NPI 1518727197
  NPD (past)
• Pfeifer Counseling, Consulting and Training LLC

  • Professional Counselor
  • Williamstown, WV
  • NPI 1841657749
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1487163077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JOHNSON RD",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801146",
            "telephone_number": "740-853-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CANDICE",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Shank
• Nicholas Shannon, CERT HEALTH PROF
• Mike Soong
• Ronald Eugene Tinkham
• Charles Joshua Wachenschwanz
• Emily Walker, PHARMD, BCACP
• Gracie V White
• Chip Wilfong, LMT
• Madisen Williams, RPH TECH
• Teresa A Witham, LPN

• Clinical Social Worker in The Plains, OH
• Providers in The Plains, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.