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

Mrs. Candace Lynn Tillery, LMSW, CAADC, SAP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114389301

Mrs. Candace Lynn Tillery, LMSW, CAADC, SAP is a Clinical Social Worker in Lansing, Michigan. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Phone: (517) 515-6176
Fax: (517) 515-6176
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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 6801099467 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-03445 (MI)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1114389301
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CAADC , SAP
Sole proprietorYes
NPI enumeratedMarch 25, 2016
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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