MEDICARE: CANDI HIGLEY LCSW

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
1	1041C0700X	Clinical Social Worker	328253-3501	UT

General Provider Information

NPI Number	:	1447728894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDI HIGLEY LCSW

Provider Business Mailing Address
First Line	:	946 W 1620 S
Second Line	:
City	:	PAYSON
State	:	UT
Zip	:	84651-1835
Country	:	US
Telephone Number	:	801-900-1750
Fax Number	:

Provider Business Practice Location Address
First Line	:	567 N STATE ROAD 198
Second Line	:
City	:	SALEM
State	:	UT
Zip	:	84653-5668
Country	:	US
Telephone Number	:	385-404-5517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2018
Last Update Date	:	06/29/2023

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Directions to “ CANDI HIGLEY LCSW” Practice Location

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