Candace Denise Woodcock, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007369 Issued in NC

Practice address

1390 S 16TH St
Wilmington, NC 28401-6422

Phone

(910) 851-5326

Fax

(910) 251-5324

NPI assigned

Oct 4, 2011

Last updated

Oct 4, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East Coast Solutions, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1205902020
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1942584370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE CT STE 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349079",
            "telephone_number": "252-830-7561",
            "fax_number": "252-413-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016422",
            "telephone_number": "910-851-5326",
            "fax_number": "910-251-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "CANDACE",
        "middle_name": "DENISE",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1788",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Rebecca Wood, LCSWA
• Sarah Kay Wood, LCSW
• Rebekah Woodard, M.S., CCC-SLP
• Lauren Woodbridge
• Amy Susan Woodcock, PT
• Erika Denaci Woodfox
• Allister Keith Woodman, RPH
• Dawn Marie Woods, FNP-ADULT HEALTH
• Jonathan Bradley Woods, M.D.
• Justin Wiliam Woods, PA

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.