Candace I Boden, LCSW
Individual provider Active NPI Clinical Social Worker · Litchfield, CT
NPI 1689688673 · NPPES record last updated May 13, 2013
Key facts
- NPI
- 1689688673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 004074 (CT)
- Practice address
- 89 Richards Rd
Litchfield, CT 06759-3701 - Phone
- (860) 567-7792
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
89 Richards Rd
Litchfield, CT 06759-3701
Phone (860) 567-7792
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071226000160 | CT | Practitioner - Clinical Social Worker | 9436249752 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4074 | CT | MD | Health Service Psychologist |
| 004074 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boden Counseling LLC | Clinical | Current |
Accepting new patients |
| Catholic Charities, Inc. - Archdiocese of Hartford | Past |
Accepting new patients | |
| Catholic Charities, Inc. - Archdiocese of Hartford | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ccaoh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004074 | CT | Yes |
Addresses
Primary practice location
89 Richards Rd
Litchfield, CT 06759-3701
Mailing address
89 Richards Rd
Litchfield, CT 06759-3701
Phone (860) 567-7792
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004258382 | Medicaid | CT |
Other providers in Litchfield, CT
- Barrie Birge
- Bloom Pediatric Therapy, PLLC
- Lauren J Blouin
- Blue Heron Health LLC
- Boden Counseling LLC
- Bianca Bolduc
- Christina Borel
- Michael A Bosson
- Alexis C. Bouteneff
- Catherine Anne Buckingham
All providers in Litchfield, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.