Provider Demographics
NPI:1093603433
Name:WHEATON STALLINGS, CANDACE (BSW MSW)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:WHEATON STALLINGS
Suffix:
Gender:F
Credentials:BSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3170 BENTWOOD CIRCLE SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2883
Mailing Address - Country:US
Mailing Address - Phone:317-772-3034
Mailing Address - Fax:
Practice Address - Street 1:3170 BENTWOOD CIRCLE SOUTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-2883
Practice Address - Country:US
Practice Address - Phone:317-772-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99131548A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker