| Candicares, Pllc | |
|
4265 Brownsboro Rd Suite 150 Winston Salem NC 27106-6194 | |
| (336) 896-0700 | |
| (336) 896-0701 |
| Full Name | Candicares, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4265 Brownsboro Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Candace Louise Washington (CEO/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3368960700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candicares, Pllc 4265 Brownsboro Rd Suite 150 Winston Salem NC 27106-6194 Ph: (336) 896-0700 | Candicares, Pllc 4265 Brownsboro Rd Suite 150 Winston Salem NC 27106-6194 Ph: (336) 896-0700 |
| NPI Number | 1952615734 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 0749444537 |
|---|---|
| Medicare Enrollment ID | O20120606000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952615734 | NPI | - | NPPES |
| 6008436 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | 2713 (North Carolina) | Secondary |
| Provider Name | Candace Louise Washington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134169790 PECOS PAC ID: 6002813730 Enrollment ID: I20061023000159 |
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