Farrell, Candace Leigh
Farrell, Candace Leigh is an sole proprietor health care provider with primary practice located at 1001 Baltimore Pike Ste 208 , Springfield PA 19064-2852. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Farrell, Candace Leigh can be contacted via phone (215) 590-7555.Contact Information
Primary practice address
1001 Baltimore Pike Ste 208
Springfield PA 19064-2852
Phone: (215) 590-7555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904006461 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW020724 | Pennsylvania |
Profile Details
| NPI number | 1689711418 |
|---|---|
| LBN Legal business name | Farrell, Candace Leigh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Aug 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689711418 | NPPES |
| Pennsylvania | MEDICAID | 103777332 |
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