Kathy J Canady-Nagy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005666A Issued in IN

Practice address

107 N Eddy St
South Bend, IN 46617-2920

Phone

(575) 742-4610

Fax

(574) 246-1634

NPI assigned

Jul 19, 2009

Last updated

May 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy J Canady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mitchell R Goldstein, MD

  • Professional Counselor
  • South Bend, IN
  • NPI 1700196698
  NPD (past)

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

{
    "created_epoch": "1247961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1871723338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N EDDY ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172920",
            "telephone_number": "574-246-1036",
            "fax_number": "574-246-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N EDDY ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172920",
            "telephone_number": "575-742-4610",
            "fax_number": "574-246-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY-NAGY",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-19",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005666A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "CANADY",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Calvano, L. M. F. T.
• Richmond Edward Calvin, LCSW LMFT LHMC
• Lisa Cammett, O.D.
• Julisa Cynthia Campbell, RBT
• Heather A Campion, M.D.
• Cancer Society of St. Joseph County (RiverBend Cancer Services)
• Lisa Renee Canda, P.T.
• Raymond Rene Lucio Canda, RPT
• Thomas Edward Capannari, M.D.
• Emely Capetillo

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.