Active NPI
Candace M Lawson
- Social Worker
- Roseburg, OR
National Provider Identifier
1962033860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2531 NW Edenbower Blvd Apt 96
Roseburg, OR 97471-8815 - Phone
- (814) 515-5625
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2531 NW Edenbower Blvd Apt 96
Roseburg, OR 97471-8815
Mailing address
621 SE Fowler, Suite 2
Roseburg, OR 97470
Phone (541) 670-3104
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": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1962033860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 SE FOWLER, SUITE 2",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97470",
"telephone_number": "541-670-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 NW EDENBOWER BLVD APT 96",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718815",
"telephone_number": "814-515-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "CANDACE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.