Individual provider Active NPI

Laura K Candelaria, LICSW

  • Social Worker
  • Shrewsbury, MA
National Provider Identifier
1487789962
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
213851 Issued in MA
Practice address
45 Oak St
Shrewsbury, MA 01545-2733
Phone
(508) 841-1240
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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 213851 MA Primary

Addresses

Primary practice location

45 Oak St
Shrewsbury, MA 01545-2733

Mailing address

52 Lorna Dr
Auburn, MA 01501-1242
Phone (508) 450-1090

Other practice location 1

72 Jaques Ave
Worcester, MA 01610-2476
Phone (508) 860-1260

Other identifiers 1

IdentifierTypeStateIssuer
1301071MedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1487789962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LORNA DR",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011242",
            "telephone_number": "508-450-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OAK ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452733",
            "telephone_number": "508-841-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Jaques Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102476",
            "country_code": "US",
            "telephone_number": "508-860-1260",
            "fax_number": "508-752-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "213851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.