Candace L. Dan, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-11254 Issued in NM

Practice address

208 E Apache St
Farmington, NM 87401-6904

Phone

(505) 327-1244

Fax

(505) 325-7803

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Birches Health Medical Group P a

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1366292005

  NM

  Medicare reassignment NPD
• Albuquerque Treatment Services LLC

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1801032958
  NPD (past)
• Family Crisis Center Inc.

  • Case Management Agency
  • Farmington, NM
  • NPI 1144379264
  NPD (past)
• New Mexico Treatment Services LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1265683049
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1700549391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1421",
            "city": "FRUITLAND",
            "state": "NM",
            "postal_code": "874161421",
            "telephone_number": "505-516-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016904",
            "telephone_number": "505-327-1244",
            "fax_number": "505-325-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAN",
        "first_name": "CANDACE",
        "middle_name": "L.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-11254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galadriel Currin
• Mary Catherine Curry, M.D.
• Paul Richard Cutler, M.D.
• CVS Pharmacy Inc.
• CW Transport
• Katara Dan
• Daniel & Max LLC
• Daniel Westbury LLC
• Shelby Daniele-Coley
• Tammy Daniele

• Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.