Individual provider Active NPI

Candace J Sindoris, LCSW, LSATP, CSAC

  • Clinical Social Worker
  • Reston, VA
National Provider Identifier
1588744361
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91 Issued in CO
Practice address
11260 Roger Bacon Dr
Suite 500
Reston, VA 20190-5227
Phone
(703) 282-0166
NPI assigned
Oct 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000073 VA
Clinical Social Worker 1041C0700X 0904003883 VA
Clinical Social Worker 1041C0700X 91 CO Primary

Addresses

Primary practice location

11260 Roger Bacon Dr
Suite 500
Reston, VA 20190-5227

Mailing address

1616 Chimney House Road
Reston, VA 20190-4301
Phone (703) 447-7615

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0718000073VAMDAddiction (Substance Use Disorder) Counselor
91COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1588744361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CHIMNEY HOUSE ROAD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904301",
            "telephone_number": "703-447-7615",
            "fax_number": "703-435-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 ROGER BACON DR",
            "address_2": "SUITE 500",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905227",
            "telephone_number": "703-282-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDORIS",
        "first_name": "CANDACE",
        "middle_name": "J",
        "credential": "LCSW, LSATP, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000073",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003883",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.