Active NPI
Candace Rogers, LCSW
- Clinical Social Worker
- Taylorsville, NC
National Provider Identifier
1699360768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016672
- Practice address
- 71 Old Bridge Dr
Taylorsville, NC 28681-8198 - Phone
- (828) 302-5622
- NPI assigned
- Mar 1, 2021
- Reactivated
- Dec 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C016672 | NC | Primary |
Addresses
Primary practice location
71 Old Bridge Dr
Taylorsville, NC 28681-8198
Mailing address
71 Old Bridge Dr
Taylorsville, NC 28681-8198
Phone (828) 302-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C016672 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Wellness Path PLLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Hiddenite, NC
- NPI 1851153159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1699360768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 OLD BRIDGE DR",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286818198",
"telephone_number": "828-302-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 OLD BRIDGE DR",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286818198",
"telephone_number": "828-302-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CANDACE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"deactivation_date": "2023-12-20",
"reactivation_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.