Individual provider Active NPI

Candice Page Ster, LCSW, CAP, BCABA

  • Clinical Social Worker
  • Jacksonville Beach, FL
National Provider Identifier
1831344597
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8471 Issued in FL
Practice address
4300 Marsh Landing Blvd
Suite 204
Jacksonville Beach, FL 32250-1416
Phone
(904) 333-1924
NPI assigned
Nov 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4426 FL
Behavior Analyst 103K00000X 0-01-0233 FL
Clinical Social Worker 1041C0700X SW 8471 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd
Suite 204
Jacksonville Beach, FL 32250-1416

Mailing address

3669 Sea Hawk St E
Jacksonville, FL 32224-2260
Phone (904) 887-0407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160517000463 FL Practitioner - Clinical Social Worker 2264721166 Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4300 Marsh Landing Blvd
Suite 204
Jacksonville, FL 32250-1420
Phone (904) 333-1924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8471FLMDClinical Social Worker
4426FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palms Therapy Group, LLC Clinical Current Accepting new patients

Locations

4300 Marsh Landing Blvd
Ste 204
Jax Bch, FL 32250
Phone (904) 333-1924

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227312000000",
    "number": "1831344597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 SEA HAWK ST E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242260",
            "telephone_number": "904-887-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501416",
            "telephone_number": "904-333-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STER",
        "first_name": "CANDICE",
        "middle_name": "PAGE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CAP, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4426",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-01-0233",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.