Candice Riles-Daniels, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018963 Issued in IL

Practice address

4017 E 2603Rd Rd
Sheridan, IL 60551-9502

Phone

(815) 496-2181

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healing Crown Counseling PLLC

  • Clinical Social Worker
  • Dekalb, IL
  • NPI 1922756527
  NPD Authorized official

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487195723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BRINTON AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "61021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 E 2603RD RD",
            "city": "SHERIDAN",
            "state": "IL",
            "postal_code": "605519502",
            "telephone_number": "815-496-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Brinton Ave",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610219532",
            "country_code": "US",
            "telephone_number": "815-288-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILES-DANIELS",
        "first_name": "CANDICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Caradine
• Christina Marie Carr, M.D.
• Judith Dorothy Jarka, MS
• Alexandra Paige Melton, ATC
• Lois Nwachukwu, APRN
• Ronald W. Schaefer, M.D.
• Sheridan Fire Protection District

• Clinical Social Worker in Sheridan, IL
• Providers in Sheridan, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.