Doctor Name: | VIRGINIA CANDEE |
NPI Number: | 1114947637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1027782 |
Business Practice Address: | 1132 Westfield St West Springfield, MA - 010893878 |
Business Phone Number: | 4135921980 |
Business Fax Number: | 4134390096 |
Mailing Address: | 42 Oldham Rd, NEWTON |
State: | MA |
Postal Code: | 024652327 |
Phone Number: | 6179695703 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1027782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |