NPIMap

Organization Active NPI

Candacedwittenllc

  • Community/Behavioral Health Agency
  • Van Nuys, CA
National Provider Identifier
1902557705
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CANDACEDWITTENLLC
Practice address
14335 Sherman Way Apt 104
Van Nuys, CA 91405-2456
Phone
(818) 527-2039
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Candace Damaris Witten, LCSWNPI 1881025773
Title
LCSW/Owner
Phone
(818) 527-2039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14335 Sherman Way Apt 104
Van Nuys, CA 91405-2456

Mailing address

14335 Sherman Way Apt 104
Van Nuys, CA 91405-2456
Phone (818) 527-2039

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1902557705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 SHERMAN WAY APT 104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052456",
            "telephone_number": "818-527-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 SHERMAN WAY APT 104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052456",
            "telephone_number": "818-527-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACEDWITTENLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "WITTEN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "DAMARIS",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "818-527-2039",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.