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MS. CANDICE JILLIAN DUCKWORTH
NPI 1003410648
Counselor - Mental Health in Ketchikan, AK

Active since November 24, 2020
3050 FIFTH AVE STE 100, KETCHIKAN, AK 99901(907) 463-0627 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Aug 20, 2024, Nov 24, 2020 (3 updates tracked since 2020).

About Ms. Candice Jillian Duckworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CANDICE JILLIAN DUCKWORTH (NPI 1003410648) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1003410648
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CANDICE JILLIAN DUCKWORTH
Location Address3050 FIFTH AVE STE 100Ketchikan, AK 99901-5773
Mailing Address884 Brown Deer RdKetchikan, AK 99901-6211 · (907) 617-0578
Phone(907) 463-0627
Sole ProprietorNo
Enumeration DateNovember 24, 2020
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1003410648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3050 FIFTH AVE STE 100, Ketchikan, AK 99901
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Other Identifiers 2

Medicaid1021118AK
Medicaid1584706AK

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS JERAD HAUGUM SUDCC III
Counselor (Addiction (Substance Use Disorder))
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 463-0629
LAURA DAVIDSON
Counselor (Addiction (Substance Use Disorder))
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 463-0624
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Community/Behavioral Health
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 966-2411
JENNIFER M PARSONS NP
Nurse Practitioner (Family)
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-2410
SOUTHEAST ALASKA REGIONAL HEALTH CONSTORTIUM
Community/Behavioral Health
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-2410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Duckworth's NPI number?

The NPI number for Candice Duckworth is 1003410648. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Candice Duckworth located?

Candice Duckworth practices at 3050 Fifth Ave Ste 100, Ketchikan, AK 99901. The listed phone number is (907) 463-0627.

What is Candice Duckworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Candice Duckworth was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.