Provider Demographics
NPI:1962910265
Name:MCCANN, CANDACE (LICSW)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MARBEE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-1743
Mailing Address - Country:US
Mailing Address - Phone:617-678-1218
Mailing Address - Fax:
Practice Address - Street 1:7 MARBEE RD
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:MA
Practice Address - Zip Code:01966-1743
Practice Address - Country:US
Practice Address - Phone:617-678-1218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-21
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1145971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical