Candor Counseling Services, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015812 Issued in IL

Legal business name

CANDOR COUNSELING SERVICES, PC

Practice address

2858 W Diversey Ave
Chicago, IL 60647-1871

Phone

(773) 599-3417

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Regina Newton, LCSW

Title

Owner

Phone

(773) 599-3417

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1851822209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471871",
            "telephone_number": "773-599-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471871",
            "telephone_number": "773-599-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-599-3417",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candid Illinois, PLLC
• Candid Space Counseling PLLC
• Kenneth Candido, MD
• Alexander Javier Candocia, D.C.
• Anna Candoleza Muglia
• Canela Psychotherapy Chicago
• Clementina Canessa Mazzoni, AUD
• Valerie Canet
• Alexis Tripp Canfield
• Mackenzie Lynn Canfield

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.