Candace Nicole Wallis
Candace Nicole Wallis is a Clinical Social Worker in Coos Bay, Oregon. Qualified in 2020, 6 years ago. Practices with Coastal Center, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 6
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
125 Central Ave Ste 290Coos Bay, OR 97420-2342
Phone: (541) 267-2113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 15085 (FL) |
|---|
Record details
| NPI number | 1215691597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 24, 2021 |
| Last updated in NPPES | October 24, 2021 |
| Certification date | October 24, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Coastal Center, Llc. — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Coos Bay
-
Lisa D Rojas, LCSW
1775 Thompson Rd, Coos Bay, OR 97420-2125 · (541) 269-8401
-
Melissa Marie Smith, CSWA, QMHP-R
833 Anderson Ave Ste 6, Coos Bay, OR 97420-4641 · (541) 286-6238
-
Michelle R. Snyder, MSW, LCSW
1610 Thompson Rd, Coos Bay, OR 97420-2150 · (541) 269-2986
-
MS. Denise E. Stuntzner, LCSW
1900 Woodland Dr, Coos Bay, OR 97420-2045 · (541) 267-5151
-
Taylor Terrell Williams, MSW
281 Laclair St, Coos Bay, OR 97420-2988 · (541) 396-7580
-
MS. Toni Wyatt-Kirkeby, LCSW
1620 Thompson Rd, Coos Bay, OR 97420-2150 · (541) 269-2986
-
Jared Paul Young, LCSW
632 Anderson Ave Ste L, Coos Bay, OR 97420-1637 · (385) 285-0386