Candace Shultz, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

207087 Issued in AK

Practice address

4600 Abbott Rd
Anchorage, AK 99507-4314

Phone

(907) 346-2101

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Candace Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Magnolia Roots Collective and Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Des Moines, IA
  • NPI 1083502249
  NPD Authorized official
• New Life Counseling PC

  • Mental Health Counselor
  • Ankeny, IA
  • NPI 1356479554
  NPD (past)

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1861189508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 MUSK OX LOOP UNIT A",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995051289",
            "telephone_number": "704-253-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ABBOTT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074314",
            "telephone_number": "907-346-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "CANDACE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "207087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah L T Shreve
• Robert Edward Lee Shryock
• Ronald Karl Shugak
• Zoey Shuham-Hardy, DNP-PMHNP
• Mark Shuler
• Shumo Psychiatric Services LLC
• Alana Kay Shuravloff
• Elizabeth J Shurtz
• Emelio Sia
• Alfreda Siah

• All providers in Anchorage, AK
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.