Candace Lynn Debban-Anderson, MA LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3689 Issued in WI

Practice address

W6144 Aerotech Dr
Appleton, WI 54914-7503

Phone

(920) 921-3343

Fax

(920) 921-0989

NPI assigned

Aug 21, 2006

Last updated

Jun 8, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Counseling, LLC

  • Community/Behavioral Health Agency
  • Appleton, WI
  • NPI 1851797005
  Medicare reassignment NPD
• Fox Valley Psychiatric Associates

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1255450086
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1770699944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6144 AEROTECH DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147503",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6144 AEROTECH DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147503",
            "telephone_number": "920-921-3343",
            "fax_number": "920-921-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBBAN-ANDERSON",
        "first_name": "CANDACE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul De Montaudouin, DO
• Susan M De Zeeuw, OT
• Tammy Deacy
• Katherine M Deangeli, MD
• Sarah Dearing I
• Adam Debruin Sr.
• Katherine A Debruin, LPC
• Michael Debruin, SAC-IT
• Julie L Decker, LPC
• Whitney June Dedering

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.