Active NPI
Candace Stoughton, LCSW
- Clinical Social Worker
- Los Lunas, NM
National Provider Identifier
1760930515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10696
- Practice address
- 428 Los Lentes Rd SE
Los Lunas, NM 87031-6018 - Phone
- (505) 865-3350
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-09552 | NM | |
| Clinical Social Worker | 1041C0700X | C-10696 | NM | Primary |
Addresses
Primary practice location
428 Los Lentes Rd SE
Los Lunas, NM 87031-6018
Mailing address
609 Girard Blvd NE
Albuquerque, NM 87106-2709
Phone (505) 252-0244
Other practice location 1
327 Eagle Dr
Ohkay Owingeh, NM 87566-3600
Phone (503) 593-1388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-09552 | NM | MD | Social Worker |
| C-10696 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1760930515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 GIRARD BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062709",
"telephone_number": "505-252-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 LOS LENTES RD SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316018",
"telephone_number": "505-865-3350"
}
],
"practiceLocations": [
{
"address_1": "327 Eagle Dr",
"address_purpose": "LOCATION",
"city": "Ohkay Owingeh",
"state": "NM",
"postal_code": "875663600",
"country_code": "US",
"telephone_number": "503-593-1388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUGHTON",
"first_name": "CANDACE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-09552",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.