Candace Wolters, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-17466 Issued in AZ

Practice address

43491 N Coyote Rd
San Tan Valley, AZ 85140-8924

Phone

(781) 775-4513

NPI assigned

Sep 27, 2022

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 names 1

• Candace Couper Former name

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1801510508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10942 N LINNET RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851947106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43491 N COYOTE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408924",
            "telephone_number": "781-775-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTERS",
        "first_name": "CANDACE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-17466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "COUPER",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audra S Williams, CNM
• Breeanne Williams, LCSW
• Kimberly L Wimbush, MS. MA. LAC.
• Monique Althea Wise
• Jenna Wofford
• Women of Excellence Healthcare, PLLC
• Michael Clark Wood, FNP
• Shirley Ann Wood, NP
• Rebecca Wooten
• Christine Wurtz

• Social Worker in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.