Provider Demographics
NPI:1922881259
Name:WOODE, CHONELL CANDACE CAMPANIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHONELL CANDACE
Middle Name:CAMPANIA
Last Name:WOODE
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 1:38252 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5811
Mailing Address - Country:US
Mailing Address - Phone:808-386-5160
Mailing Address - Fax:
Practice Address - Street 1:38252 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5811
Practice Address - Country:US
Practice Address - Phone:808-386-5160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI48711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical