Candace Sam, LLC

Organization Active NPI Clinical Social Worker · Lincoln, NE

NPI 1609246347 · NPPES record last updated Feb 9, 2016

Key facts

NPI
1609246347
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
1483, 1611 (NE)
Legal business name
CANDACE SAM, LLC
Practice address
6101 Havelock Ave
Suite 2a
Lincoln, NE 68507-1268
Phone
(702) 353-0952
Fax
(844) 329-1465
NPI assigned
Oct 6, 2015
Organization subpart
No

Authorized official

Name
Candace Sam, LICSW
Title
Social Worker
Phone
(702) 353-0952

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 1483, 1611 NE Yes

Addresses

Primary practice location

6101 Havelock Ave
Suite 2a
Lincoln, NE 68507-1268

Mailing address

6101 Havelock Ave
Suite 2a
Lincoln, NE 68507-1268
Phone (702) 353-0952

Other providers in Lincoln, NE

All providers in Lincoln, NE · Clinical Social Worker in Nebraska

Sources for this page

Verify at the official NPI Registry.