Provider Demographics
NPI:1659138998
Name:LEVERTON, CANDACE NOELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:NOELLE
Last Name:LEVERTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 JETER ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430-2977
Mailing Address - Country:US
Mailing Address - Phone:325-338-0700
Mailing Address - Fax:
Practice Address - Street 1:702 HICKORY ST STE C
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5038
Practice Address - Country:US
Practice Address - Phone:325-899-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX599381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical