Individual provider Active NPI

Candace Hansen, LSCSW

  • Clinical Social Worker
  • Derby, KS
National Provider Identifier
1861087645
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07187 Issued in KS
Practice address
1121 N College Park St Ste 700
Derby, KS 67037-3666
Phone
(316) 847-6797
Fax
(316) 425-7779
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07187 KS Primary
Social Worker 104100000X 10340 KS

Addresses

Primary practice location

1121 N College Park St Ste 700
Derby, KS 67037-3666

Mailing address

1121 N College Park St Ste 700
Derby, KS 67037-3666
Phone (316) 847-9117

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL REMOTE Health Information Exchange (HIE) REAL LIFE COUNSELING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10340KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1861087645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N COLLEGE PARK ST STE 700",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373666",
            "telephone_number": "316-847-9117",
            "fax_number": "316-425-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N COLLEGE PARK ST STE 700",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373666",
            "telephone_number": "316-847-6797",
            "fax_number": "316-425-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CANDACE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07187",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "REMOTE",
            "affiliation": "Y",
            "endpointDescription": "LAP TOP",
            "affiliationName": "REAL LIFE COUNSELING",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1720 E Osage Rd # 200",
            "city": "Derby",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670372090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.