Candace M Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03147L Issued in MD

Practice address

4240 Altamont PL Ste 101
White Plains, MD 20695-3092

Phone

(301) 893-2345

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1861204646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MARTIN DR",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 ALTAMONT PL STE 101",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953092",
            "telephone_number": "301-893-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDACE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03147L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allan Shymansky Jr., PT, DPT, CSCS
• Michelle Simonds
• Melissa Simonson, MA
• Ravinder K Sindhwani, MD
• Charlre' Evanthoni Slaughter-Atiemo, M.D.
• Ebony Smith
• Mikeala Tiara Smith, LGSW
• Zakiya Steadman, MD
• Charelle Stewart
• Sheryl A Stoops, LCPC

• Speech-Language Pathologist in White Plains, MD
• Providers in White Plains, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.