NPIMap

Organization Active NPI

Candella

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1619455847
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007123 Issued in IA
Legal business name
CANDELLA
Practice address
427 E Kanesville Blvd Ste 411
Council Bluffs, IA 51503-4403
Phone
(712) 268-5503
NPI assigned
Jul 31, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Candella Foley Finchem, LISW
Title
President
Phone
(712) 268-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007123 IA Primary

Addresses

Primary practice location

427 E Kanesville Blvd Ste 411
Council Bluffs, IA 51503-4403

Mailing address

PO Box 225
Atlantic, IA 50022-0225
Phone (712) 268-5503

National Provider Directory

National Provider Directory

Locations

427 E Kanesville Blvd
Ste 411
Council Bluffs, IA 51503
Phone (712) 268-5503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1619455847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500220225",
            "telephone_number": "712-268-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD STE 411",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-268-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDELLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "FOLEY FINCHEM",
        "authorized_official_first_name": "CANDELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-268-5503",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.