Active NPI
Candis Sherell Danzy
- Clinical Social Worker
- Wilson, NC
National Provider Identifier
1588823967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P018015
- Practice address
- 2693 Forest Hills Rd SW
Wilson, NC 27893-8611 - Phone
- (252) 234-7800
- Fax
- (704) 982-5279
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | P018015 | NC | Primary |
Addresses
Primary practice location
2693 Forest Hills Rd SW
Wilson, NC 27893-8611
Mailing address
PO Box 180
Black Creek, NC 27813-0180
Other practice location 1
2115 Forest Hills Rd W Ste A
Wilson, NC 27893-3483
Phone (252) 237-1037
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P018015 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1588823967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180",
"city": "BLACK CREEK",
"state": "NC",
"postal_code": "278130180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2693 FOREST HILLS RD SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278938611",
"telephone_number": "252-234-7800",
"fax_number": "704-982-5279"
}
],
"practiceLocations": [
{
"address_1": "2115 Forest Hills Rd W Ste A",
"address_purpose": "LOCATION",
"city": "Wilson",
"state": "NC",
"postal_code": "278933483",
"country_code": "US",
"telephone_number": "252-237-1037",
"fax_number": "252-237-2190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANZY",
"first_name": "CANDIS",
"middle_name": "SHERELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P018015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.