Candice N. Speiden

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254960 Issued in KY

Practice address

1239 Woodland Dr Ste 103
Elizabethtown, KY 42701-2770

Phone

(270) 506-2730

NPI assigned

Sep 8, 2017

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

Enrolled in KY

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Astra Behavioral Health LLC

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1922427517
  Medicare reassignment NPD
• Therapeutic Transformations LLC

  • Community/Behavioral Health Agency
  • Bardstown, KY
  • NPI 1639682909
  Medicare reassignment

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1992223036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CROGHAN WAY",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401759724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR STE 103",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-506-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIDEN",
        "first_name": "CANDICE",
        "middle_name": "N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Sparks
• Specialistsmat PSC
• Specialty RX Ky LLC
• Spectrum Care Academy of E-Town
• Spectrum Care Academy, Inc.
• Lauren Spencer
• Rebecca Spicer, NP
• Lisa Nan Springer, ARNP
• Hannah Susan St. Clair, LPCC;NCAC;CADC
• Chasiti Stakelin, LPCC

• Clinical Social Worker in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.