Individual provider Active NPI

Candice Jean Burnett, LICSW

  • Clinical Social Worker
  • Attleboro, MA
National Provider Identifier
1538274303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101661 Issued in MA
Practice address
865 W St
Attleboro, MA 02703
Phone
(508) 226-2037
Fax
(508) 226-2037
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101661 MA Primary

Addresses

Primary practice location

865 W St
Attleboro, MA 02703

Mailing address

865 W St
Attleboro, MA 02703
Phone (508) 226-2037

Other identifiers 2

IdentifierTypeStateIssuer
6215685OtherUNITED HEALTH CARE
BUP02073OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051018001145 MA Practitioner - Clinical Social Worker 5395761423 Practice locations: Attleboro, MA
I20220220000000 ME Practitioner - Clinical Social Worker 5395761423 Practice locations: Bowdoinham, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Elliot LN
Bowdoinham, ME 04008-4629
Phone (207) 666-1321

865 W St
Attleboro, MA 02703-3335
Phone (508) 226-2037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101661MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538274303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 W ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "02703",
            "telephone_number": "508-226-2037",
            "fax_number": "508-226-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 W ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "02703",
            "telephone_number": "508-226-2037",
            "fax_number": "508-226-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CANDICE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6215685",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BUP02073",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.