Provider Demographics
NPI:1437760832
Name:GOLASZEWSKI, CANDACE (MSW)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:GOLASZEWSKI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 LOCUST AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1517
Mailing Address - Country:US
Mailing Address - Phone:304-366-4750
Mailing Address - Fax:304-366-4753
Practice Address - Street 1:1313 LOCUST AVE STE 1
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-1517
Practice Address - Country:US
Practice Address - Phone:304-366-4750
Practice Address - Fax:304-366-4753
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator