Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Caldwell Moffatt

Individual provider Professional Counselor · NPI 1871032359

Candice Caldwell Moffatt is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11709 Fruehauf Dr Ste 124
Charlotte, NC 28273-7286
Phone: (704) 534-2082
Fax: (888) 416-8540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10801 Monroe Rd, Matthews, NC 28105 — (704) 237-4240

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11574 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 11574 (NC)

Record details

NPI number1871032359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2017
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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