CANDACE JOHNSON (NPI# 1700404118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700404118 |
| Entity Type | Individual |
| Full Name | CANDACE JOHNSON |
| Other Name | CANDACE BENHAM JOHNSON |
| Credential | LCSW |
| Practice Address |
4301 W Markham St Little Rock AR 72205-7101 |
| Mailing Address |
1210 Wolfe St. Slot 654 Little Rock AR 72202 |
| Practice Telephone | 5015268100 |
| Practice Fax Number | 5015265296 |
| Mailing Telephone | 5013645150 |
| Mailing Fax Number | 5013643966 |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4509-C | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841734100 | Candace Johnson | Specialist | 800 W Brevard St, Unit 1, Tallahassee, FL 32304-7839 | 2016-12-06 |
| 1811271406 | Candace Johnson | Nurse Practitioner | 12095 Steekee School Rd, Loudon, TN 37774-4565 | 2011-09-30 |
| 1831351964 | Candace Barlowe Johnson | Counselor | 2430 2nd Ave Sw, Hickory, NC 28602-2047 | 2008-06-30 |
| 1134392657 | Candace D. Johnson | Occupational Therapist | 7737 S Kingston Ave, Unit #1n, Chicago, IL 60649-4713 | 2008-04-04 |
| 1730162702 | Candace J Johnson | Pediatrics | 290 Country Club Dr Ste 140, Stockbridge, GA 30281-9094 | 2005-11-23 |
| 1255958351 | Candace Johnson | Audiologist | 1603 Medical Pkwy Ste 200, Cedar Park, TX 78613-7904 | 2020-07-06 |
| 1275166837 | Candace J Johnson | Licensed Vocational Nurse | 755 S Beckham Ave, Tyler, TX 75701-1903 | 2020-02-21 |
| 1730711599 | Candace Snow Johnson | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-02-10 |
| 1649838731 | Candace Johnson | Behavior Technician | 26720 Ynez Ct, Temecula, CA 92591-4659 | 2019-06-03 |
| 1871062315 | Candace Amanda Johnson | Social Worker | 1301 Continental Dr Ste 101, Abingdon, MD 21009-2338 | 2018-11-14 |
| Street Address |
4301 W MARKHAM ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998487 | Jan K Hastings | Pharmacist | 4301 W Markham St, #522, Little Rock, AR 72205-7101 | 2005-08-04 |
| 1043810971 | Prashanth Reddy Damalcheruvu | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7199 | 2020-10-29 |
| 1114533619 | Nitesh Gautam | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-09-20 |
| 1891301818 | Rachel Rosenbaum | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-09-16 |
| 1477164861 | Ashtyn Leann Knowles | Dietitian, Registered | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-08-11 |
| 1851919245 | Omar Alqaisi | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-07-11 |
| 1295364578 | Julie Michelle Nessler | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-04-07 |
| 1346879079 | Brian Wesley Rhea | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7199 | 2020-04-04 |
| 1265060388 | Erin Elizabeth Hall | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot 517, Little Rock, AR 72205-7101 | 2020-04-01 |
| 1275161432 | Leah J Efird | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Little Rock, AR 72205-7101 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068961 | Vanessa Perdue Brill | Social Worker | 4224 Shuffield Dr., Little Rock, AR 72205-7199 | 2019-11-27 |
| 1194201400 | Leshia Fox | Social Worker | 4224 Shuffield Dr, Little Rock, AR 72205-7211 | 2018-07-19 |
| 1700237658 | Nolan C Kordsmeier | Social Worker | 1 Innwood Cir Ste 108, Little Rock, AR 72211-2448 | 2016-06-22 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1245656156 | Dana Harrison | Social Worker | 14501 Woodcreek Dr, Little Rock, AR 72211-2934 | 2014-03-16 |
| 1093140691 | Priscilla Veronica Ybarra | Social Worker | 715 Wright Ave Apt B, Little Rock, AR 72206-1256 | 2013-09-13 |
| 1033484605 | Dominik Morton | Social Worker | 11700 Kanis Rd Ste 2, Little Rock, AR 72211-3794 | 2012-03-15 |
| 1043589989 | Ruby J Walker | Social Worker | 4708 Timberland Dr, Little Rock, AR 72204-8144 | 2011-12-21 |
| 1205135621 | Rita Peaster | Social Worker | 1924 Franklin St, Little Rock, AR 72204-3782 | 2011-03-24 |
| 1083913065 | Crystal Dawn Zehm | Social Worker | 305 S Palm, Arkansas State Hospital, Little Rock, AR 72205 | 2011-03-16 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on CANDACE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.