Provider Demographics
NPI:1932577525
Name:ADLER, CANDACE DAWN (LCSW)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:DAWN
Last Name:ADLER
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 1:233 S FEDERAL HWY
Mailing Address - Street 2:APT 813
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4937
Mailing Address - Country:US
Mailing Address - Phone:954-415-5398
Mailing Address - Fax:
Practice Address - Street 1:1750 N UNIVERSITY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8903
Practice Address - Country:US
Practice Address - Phone:954-755-8247
Practice Address - Fax:954-755-8255
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-13
Last Update Date:2015-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW97271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical