Candice Gould, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004081 Issued in GA

Practice address

1244 Polk Xing
McDonough, GA 30252-8081

Phone

(917) 622-4701

Fax

(423) 822-5729

NPI assigned

Nov 6, 2014

Sex

Female

Sole proprietor

Yes

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 GA

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• CSG & Associates Counseling

  • Clinical Social Worker
  • McDonough, GA
  • NPI 1386185890
  Medicare reassignment NPD Authorized official
• Angels Recovery

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1255743837
  NPD

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1730585464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 POLK XING",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528081",
            "telephone_number": "917-622-4701",
            "fax_number": "423-822-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 POLK XING",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528081",
            "telephone_number": "917-622-4701",
            "fax_number": "423-822-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CANDICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debois Gooden
• Mallory Brooke Goodenow, M.S.ED. CCC-SLP
• Goodwill Medical Supply Inc
• Dara Nicole Goodwin
• Sabina Gabrielle Gordon, FNP-C
• Sridevi Gowravaram, MD
• Grace & Peace Christian Counseling & Consulting Services, LLC
• Graceful Hands Staffing and Medical Service LLC
• Graceful Mind Health Services LLC
• Gracefully Chosen Home Health Care, LLC

• Clinical Social Worker in McDonough, GA
• Providers in McDonough, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.