Active NPI
Candy P Morales, LCSW #89123
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1922692979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.