Individual provider Active NPI

Candace Martin

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1679149975
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118524 Issued in MI
Practice address
33788 Schoenherr Rd # 1130
Sterling Heights, MI 48312-6404
Phone
(586) 209-2801
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801118524 MI Primary

Addresses

Primary practice location

33788 Schoenherr Rd # 1130
Sterling Heights, MI 48312-6404

Mailing address

33788 Schoenherr Rd
Sterling Heights, MI 48312-6404
Phone (586) 209-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240827000744 MI Practitioner - Clinical Social Worker 2961941604 Reassigns benefits to 1 organization
I20241113000513 SC Practitioner - Clinical Social Worker 2961941604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801118524MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC Clinical CurrentSince Sep 23, 2024 Accepting new patients
Suppression Expression Counseling, LLC CurrentSince Jun 9, 2024 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

4370 Chicago Dr SW
Ste 515
Grandville, MI 49418

4370 Chicago Dr SW
#515
Grandville, MI 49418
Phone (616) 287-2283

30 Patewood Dr
Ste 160
Greenville, SC 29615
Phone (864) 455-5777

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1679149975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33788 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126404",
            "telephone_number": "586-209-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33788 SCHOENHERR RD # 1130",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126404",
            "telephone_number": "586-209-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.