MS. CANDACE JEAN ANDERSON (MSW, LICSW) – Clinical Social Worker, NPI 1093570541

MS. CANDACE JEAN ANDERSON (MSW, LICSW) is a healthcare provider. based in North st paul, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW. They hold a License No. 29981 (MN). The NPI Number for MS. CANDACE JEAN ANDERSON (MSW, LICSW) is 1093570541

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. CANDACE JEAN ANDERSON (MSW, LICSW)
NPI
1093570541
Phone
(651) 769-6400
Address
2497 7TH AVE E STE 101
Enumeration Date
14 February 2024
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517696400
Graduation Year
2021 (5 years ago)
PAC ID
4688012362
Group Practice PAC ID
3274504816
Professional Enrollment ID
I20240401000340
Address ID
MN551092946NO2497XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MS. CANDACE JEAN ANDERSON (MSW, LICSW)

  • 2497 7TH AVE E STE 101

    NORTH ST PAUL, MN 551092946

    Phone: (651) 769-6400

    Fax: (651) 769-6449

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240401000340IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274504816View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Physician AssistantAZ
P S Y C H I A T R YMN
Mental Health CounselorMN
Nurse PractitionerMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the registry number for MS. CANDACE JEAN ANDERSON (MSW, LICSW)?
The registry entry for MS. CANDACE JEAN ANDERSON (MSW, LICSW) shows NPI 1093570541.
Does the public listing show MS. CANDACE JEAN ANDERSON (MSW, LICSW) as active?
MS. CANDACE JEAN ANDERSON (MSW, LICSW)'s NPI record reflects an active status in NPPES.
What does the directory say MS. CANDACE JEAN ANDERSON (MSW, LICSW) does?
Insurance directories may phrase it differently, but here MS. CANDACE JEAN ANDERSON (MSW, LICSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. CANDACE JEAN ANDERSON (MSW, LICSW) tied to North St Paul, Minnesota?
If you are local to North St Paul, Minnesota, MS. CANDACE JEAN ANDERSON (MSW, LICSW) may be relevant to your search.
Who maintains MS. CANDACE JEAN ANDERSON (MSW, LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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