Candis S Astolfi, LICSW
Individual provider Active NPI Clinical Social Worker · Moorhead, MN
NPI 1760710784 · NPPES record last updated Dec 6, 2022
Key facts
- NPI
- 1760710784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11264 (MN)
- Practice address
- 2405 8TH St S Ste 200
Moorhead, MN 56560-4200 - Phone
- (218) 331-4866
- NPI assigned
- Dec 2, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nystrom and Associates Counseling Wi SC
Practice addresses (Care Compare)
5354 42ND St S
Suite B
Fargo, ND 58104-4032
Phone (701) 941-4503
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160829001682 | ND | Practitioner - Clinical Social Worker | 1456646538 | Reassigns benefits to 1 organization |
| I20170210001500 | MN | Practitioner - Clinical Social Worker | 1456646538 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4829 | ND | MD | Pharmacist |
| 11264 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates Counseling Wi., S.C. | Current |
Accepting new patients | |
| Nystrom & Associates, LTD | Clinical | Current |
Accepting new patients |
| Family Support Services Inc. | Current |
Accepting new patients | |
| Lakeland Mental Health Center | Past |
Accepting new patients |
Locations
13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282
332 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 481-9408
2405 8th St S
Ste 200
Moorhead, MN 56560
Phone (218) 331-4866
9245 Quantrelle Ave NE
Otsego, MN 55330
Phone (763) 308-8619
124 Tyler Rd S
Red Wing, MN 55066
Phone (651) 977-5001
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704
101 Dehler Dr
Sartell, MN 56377
Phone (320) 253-3512
5354 42nd St S
Ste B
Fargo, ND 58104
Phone (701) 501-8014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4829 | ND | |
| Clinical Social Worker | 1041C0700X | 11264 | MN | Yes |
Addresses
Primary practice location
2405 8TH St S Ste 200
Moorhead, MN 56560-4200
Mailing address
2405 8TH St S Ste 200
Moorhead, MN 56560-4200
Phone (218) 331-4866
Other providers in Moorhead, MN
- Nimo Arte
- Ashby Holdings LLC
- Claire Elise Askegaard
- Marion L. Askegaard
- Aspen Acupuncture & Herbal Medicine
- Agozie Asuzu
- At Peace Integrative Mental Health Clinic LLC
- At This Point Counseling, PLLC
- Andrew Steven Atchison
- Madelyne Marie Atwater
All providers in Moorhead, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.