Candace M Bullinger, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61023131 Issued in WA

Practice address

109 E Harrison St
Tacoma, WA 98404-1554

Phone

(253) 260-5527

NPI assigned

Mar 11, 2019

Last updated

Jan 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Candace Mivshek Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.bullingerlicsw.p1@direct.chc-tacoma.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA

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.

• Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Tacoma, WA
  • NPI 1790762755

  Multi-Specialty

  Medicare reassignment NPD
• Lantz & Associates Counseling, LLC

  • Clinical Social Worker
  • Oak Harbor, WA
  • NPI 1407388283
  Medicare reassignment NPD
• Providence Health & Services Washington

  dba Providence Medical Group SouthWest Washington

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1174744304

  Clinical

  Medicare reassignment NPD
• Tetra Counseling

  • Clinical Social Worker
  • Tacoma, WA
  • NPI 1699631077
  NPD Authorized official
• Tetra Counseling LLC

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1477375657
  NPD Authorized official
• Community Health Care

  dba Puyallup

  • Federally Qualified Health Center (FQHC)
  • Puyallup, WA
  • NPI 1003515594
  NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1932667763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E HARRISON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041554",
            "telephone_number": "253-260-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E HARRISON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041554",
            "telephone_number": "253-260-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLINGER",
        "first_name": "CANDACE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61023131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "MIVSHEK",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alice Bulega
• David Bulindah
• Tatyana Bulkhak
• Jeanne Marie Bulla, ARNP
• Mathilda Bullimore
• Veronica Bullis, COTA
• Liana N Bullock, OD
• Wendy Bulman, LMHCA
• John Erik Bulmer, DC
• Bunce Rental, Inc. (American Medical Rental & Supply)

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.