MRS. CANDACE LYNN TILLERY LMSW, CAADC, SAP
NPI 1114389301
Social Worker - Clinical in Lansing, MI

Q: What is Candace Tillery's NPI number?

The NPI number for Candace Tillery is 1114389301. It was assigned to this individual provider in the NPPES registry on March 25, 2016. The provider is also known as Candace Lynn Buckner Lmsw, Caadc, Sap.

Q: What is Candace Tillery's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Candace Tillery was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment

3721 W MICHIGAN AVE STE 200, LANSING, MI 48917(517) 515-6176(517) 515-6176 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2017, Mar 25, 2016 (2 updates tracked since 2016).

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About Mrs. Candace Lynn Tillery Lmsw, Caadc, Sap NPPES

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

MRS. CANDACE LYNN TILLERY LMSW, CAADC, SAP (NPI 1114389301) is an individual clinical provider in Lansing, Michigan, licensed in Michigan (6801099467) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114389301

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. CANDACE LYNN TILLERYCredential: LMSW, CAADC, SAP

Location Address3721 W MICHIGAN AVE STE 200Lansing, MI 48917-3600

Mailing Address3721 W Michigan Ave Ste 200Lansing, MI 48917-3600 · (517) 515-6176

Phone(517) 515-6176

Fax(517) 515-6176

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 25, 2016

Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1114389301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801099467

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-03445 (MI)

Also ListedBehavior AnalystTaxonomy 103K00000X

3721 W MICHIGAN AVE STE 200, Lansing, MI 48917

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Other Names 1

Former Name (1)Candace Lynn Buckner Lmsw, Caadc, Sap

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Candace Lynn Tillery Lmsw, Caadc, Sap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587911755

PECOS Enrollment IDI20180718003493

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 12

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

INNOVATIVE BEHAVIORAL HEALTH

Clinic/Center