Individual provider Active NPI

Candy P Morales, LCSW #89123

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1922692979
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89123
Practice address
4100 Normal Street
Annex 10
San Diego, CA 92103
Phone
(619) 322-3510
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 89123 Primary

Addresses

Primary practice location

4100 Normal Street
Annex 10
San Diego, CA 92103

Mailing address

4100 Normal Street
Annex 10
San Diego, CA 92103
Phone (619) 322-3510

Other practice location 1

2400 E 4th St
National City, CA 91950-2098
Phone (619) 470-4169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmorales9@primehealthcare.com

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

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1922692979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NORMAL STREET",
            "address_2": "ANNEX 10",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-322-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORMAL STREET",
            "address_2": "ANNEX 10",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-322-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 E 4th St",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502098",
            "country_code": "US",
            "telephone_number": "619-470-4169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CANDY",
        "middle_name": "P",
        "credential": "LCSW #89123",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "89123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmorales9@primehealthcare.com",
            "affiliation": "N",
            "address_1": "2400 E 4th St",
            "city": "National City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919502098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.