Judith G Candee, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Midlothian, IL

NPI 1649501669 · NPPES record last updated Jan 15, 2010

Key facts

NPI: 1649501669
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 149.013987 (IL)
Practice address: 4722 147TH St
Suite 11
Midlothian, IL 60445-2590
Phone: (708) 307-0922
Fax: (708) 535-0141
NPI assigned: Jan 15, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Confidential Crisis Consultation Inc Professional Counselor · Midlothian, IL · NPI 1356587315

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
149.013987	IL	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Confidential Crisis Consultation Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	149.013987	IL	Yes

Addresses

Primary practice location

4722 147TH St
Suite 11
Midlothian, IL 60445-2590

Mailing address

214 Ravine Rd
Hinsdale, IL 60521-3714
Phone (630) 655-2599

Other providers in Midlothian, IL

All providers in Midlothian, IL · Clinical Social Worker in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.