Individual provider Active NPI

Candice Sanborn, LISW

  • Clinical Social Worker
  • Garfield Heights, OH
National Provider Identifier
1730502568
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1302314 Issued in OH
Practice address
12395 McCracken Rd
Garfield Heights, OH 44125-2967
Phone
(216) 587-6727
NPI assigned
Jan 30, 2014
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 I 1302314 OH Primary

Addresses

Primary practice location

12395 McCracken Rd
Garfield Heights, OH 44125-2967

Mailing address

12395 McCracken Rd
Garfield Heights, OH 44125-2967
Phone (216) 587-6727

Other practice location 1

4400 W 143rd St
Cleveland, OH 44135-2004
Phone (216) 557-7595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170817001411 OH Practitioner - Clinical Social Worker 4880966449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rakesh Ranjan M.D. and Assoc., IncGroup PAC ID 6507895067, 22 clinicians

Practice addresses (Care Compare)

12395 McCracken Rd
Suite a
Garfield HTS, OH 44125-2946
Phone 21658767273402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 1302314OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan M.D. & Assoc., Inc. CurrentSince Dec 6, 2022 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Dec 6, 2022 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jul 20, 2017 Accepting new patients
Kelli Anne Chamberlain PastSince Dec 13, 2022 Accepting new patients

Locations

12395 McCracken Rd
Ste A
Garfield Hts, OH 44125
Phone (216) 504-3646

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 375-9897

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1730502568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 W 143rd St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441352004",
            "country_code": "US",
            "telephone_number": "216-557-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "CANDICE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1302314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.