Provider Demographics
NPI:1174656425
Name:HOWARD, CANDACE (MSW LCSW BCD)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MSW LCSW BCD
Other - Prefix:MS
Other - First Name:CANDACE
Other - Middle Name:LEE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASTERS IN SOCIAL WO
Mailing Address - Street 1:3475 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809
Mailing Address - Country:US
Mailing Address - Phone:225-767-0407
Mailing Address - Fax:225-929-9001
Practice Address - Street 1:3475 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-767-0407
Practice Address - Fax:225-929-9001
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA 27101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical