Active NPI
Candice Sa, QMHA
- Clinical Social Worker
- Carson City, NV
National Provider Identifier
1922674571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11975-C
- Practice address
- 775 Fleischmann Way
Carson City, NV 89703-2995 - Phone
- (754) 458-8889
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11975-C | NV | Primary |
| Social Worker | 104100000X | IC1874 | NV | |
| Clinical Social Worker | 1041C0700X | 14307137-3501 | UT | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 8448-S | NV |
Addresses
Primary practice location
775 Fleischmann Way
Carson City, NV 89703-2995
Mailing address
200 Lotus Cir
Carson City, NV 89703-7512
Phone (702) 494-7763
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
| License | State | Type | Specialty |
|---|---|---|---|
| IC1874 | NV | MD | Social Worker |
| 8448-S | NV | MD | Adolescent and Children Mental Health Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Within Behavioral Health LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Carson City, NV
- NPI 1427533298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1922674571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LOTUS CIR",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897037512",
"telephone_number": "702-494-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 FLEISCHMANN WAY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897032995",
"telephone_number": "754-458-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SA",
"first_name": "CANDICE",
"credential": "QMHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "11975-C",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "IC1874",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14307137-3501",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NV",
"license": "8448-S",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.