Candice Marie Mishler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020703 Issued in PA

Practice address

1360 Eisenhower Blvd Ste 504
Johnstown, PA 15904-3341

Phone

(814) 262-7140

Fax

(814) 262-7169

NPI assigned

Aug 14, 2018

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 PA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Cambria Somerset Counseling, LLC

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1609232750
  Medicare reassignment NPD

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1790265346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 EISENHOWER BLVD STE 104",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043262",
            "telephone_number": "814-269-1494",
            "fax_number": "814-266-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 EISENHOWER BLVD STE 504",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043341",
            "telephone_number": "814-262-7140",
            "fax_number": "814-262-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHLER",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Minchau, DMD
• Michelle Minemyer, RN
• Rebecca Sue Minnick
• Miscoe Chiropractic Clinic, P.C.
• Frederic J, Miscoe II, D.C.
• Meredith Mishler, DO
• Nirmal G Mital, MD
• Neelum Mittal, MD
• Jessica Mizera, LSW
• Zhicheng Mo, M.D., PH.D.

• Clinical Social Worker in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.