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NPI Code Detail

MEDICARE: MISS CANDICE ALEXANDRA MCVAY LICSW

MEDICARE: MISS CANDICE ALEXANDRA MCVAY LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSWI.LW.61592257WA

General Provider Information

NPI Number : 1912677634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CANDICE ALEXANDRA MCVAY LICSW
Provider Business Mailing Address
First Line : 1469 N 1200 W
Second Line :
City : OREM
State : UT
Zip : 84057-2449
Country : US
Telephone Number : 801-655-5450
Fax Number : 385-225-9327
Provider Business Practice Location Address
First Line : 511 28TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4161
Country : US
Telephone Number : 801-655-5450
Fax Number : 385-225-9327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 04/06/2026

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Directions to “ MISS CANDICE ALEXANDRA MCVAY LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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