Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDACE NICOLE WALLIS
ActiveCANDACE NICOLE WALLIS is a Clinical Social Worker healthcare provider located in COOS BAY, Oregon. NPI 1215691597 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COOS BAY, OR
Registration Details
- NPI Number
- 1215691597
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2021 (4.7971706381646 yrs)
- Last Updated
- Oct 24, 2021
- License
-
15085 (FL)
Practice Information
- Address
-
125 CENTRAL AVE STE 290COOS BAY, OR, 974202342Browse OR providers · Browse ZIP 97420
- Phone
- 5412672113
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| MS. DENISE E. STUNTZNER | LCSW | 1245271246 |
| GAYLE D GOLDBLATT | LCSW | 1912923848 |
| MR. RICHARD L BOSSARDT | L.C.S.W. | 1336245752 |
| CAROL J. EMBURY | LCSW | 1336238971 |
| MR. PAUL EDWARD FORBES JR. | MSW, LCSW | 1598818650 |
| MS. MARY EDITH FEUTRIER | LCSW | 1780737858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.