Candace Nicole Wallis, - Clinical Social Worker in Coos Bay, OR

Candace Nicole Wallis, is a Social Worker - Clinical based in Coos Bay, Oregon. Candace Nicole Wallis is licensed to practice in Florida (license number 15085) and her current practice location is 125 Central Ave Ste 290, Coos Bay, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 267-2113.

NPI number for Candace Nicole Wallis is 1215691597 and her current mailing address is 1600 Woodland Dr, Coos Bay, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215691597.

Contact Information

Candace Nicole Wallis,
125 Central Ave Ste 290,
Coos Bay, OR 97420-2342
(541) 267-2113
Not Available



Healthcare Provider's Profile

Full NameCandace Nicole Wallis
GenderFemale
SpecialitySocial Worker - Clinical
Location125 Central Ave Ste 290, Coos Bay, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215691597
  • Provider Enumeration Date: 10/24/2021
  • Last Update Date: 10/24/2021

Medical Identifiers

Medical identifiers for Candace Nicole Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215691597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 15085 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Nicole Wallis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Candace Nicole Wallis,
1600 Woodland Dr,
Coos Bay, OR 97420-2044

Ph: (727) 692-7373
Candace Nicole Wallis,
125 Central Ave Ste 290,
Coos Bay, OR 97420-2342

Ph: (541) 267-2113

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› Verified 1 days ago


Social Worker in Coos Bay, OR

Ms. Toni Wyatt-kirkeby, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1620 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-2986    Fax: 541-266-8640
Mr. Jeffrey G. Friedman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-2986    Fax: 541-269-7987
Kellilynn Bosak, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420
Phone: 541-267-5151    Fax: 541-266-4554
Ms. Denise E. Stuntzner, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420
Phone: 541-267-5151    
Carol J. Embury, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-2986    Fax: 541-269-7987
Mr. Richard L Bossardt, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2085 Thompson Rd, Coos Bay, OR 97420
Phone: 541-269-5333    Fax: 541-269-5609

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