Candice Alexandra Lawler, CO 60942269

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60942269 Issued in WA

Practice address

221 N Race St
Port Angeles, WA 98362-3513

Phone

(360) 452-2443

NPI assigned

Apr 22, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1740843010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N RACE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623513",
            "telephone_number": "360-452-2443",
            "fax_number": "360-452-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N RACE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623513",
            "telephone_number": "360-452-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "CANDICE",
        "middle_name": "ALEXANDRA",
        "credential": "CO 60942269",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60942269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60942269",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren M Larson, M.D.
• Emily Last, LICSW
• Ronald Eugene Last Jr., CDP-T
• Kenneth L Laughman
• Lavern H. Swenson DDS
• Kathy Lynn Lawley, PT
• George N Lawrence, DC
• Aleilah P Lawson, LMP
• Bethany Leavitt, DTR, RDN
• Fayzel S Lee, MD

• Addiction (Substance Use Disorder) Counselor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.