Individual provider Active NPI

Candra A. Huston, LCSW

  • Clinical Social Worker
  • Giddings, TX
National Provider Identifier
1962429514
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31334 Issued in TX
Practice address
2271 W Highway 290
Giddings, TX 78942-5727
Phone
(512) 680-5511
Fax
(512) 281-4212
NPI assigned
Jul 17, 2006
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 31334 TX Primary

Addresses

Primary practice location

2271 W Highway 290
Giddings, TX 78942-5727

Mailing address

101 Pine Cone LN
Elgin, TX 78621-9727
Phone (512) 680-5511

Other identifiers 1

IdentifierTypeStateIssuer
1026916-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20111220000034 TX Practitioner - Clinical Social Worker 3173798253 Practice locations: Giddings, TX; Elgin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Pine Cone LN
Elgin, TX 78621-9727

2271 Hwy 290 E
Giddings, TX 78957-5727
Phone (512) 680-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31334TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1962429514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PINE CONE LN",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786219727",
            "telephone_number": "512-680-5511",
            "fax_number": "512-281-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 W HIGHWAY 290",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789425727",
            "telephone_number": "512-680-5511",
            "fax_number": "512-281-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "CANDRA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026916-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Giddings, TX

Sources for this page

Verify at the official NPI Registry.