CANDICE KAE MOHAMMAD LICSW
NPI 1205099215
Social Worker - Clinical in Fridley, MN

Active since July 09, 2008
490 FAIRMONT ST NE, NO BUSINESS, FRIDLEY, MN 55432(763) 717-7979 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Kae Mohammad Licsw NPPES

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

CANDICE KAE MOHAMMAD LICSW (NPI 1205099215) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (10756) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1205099215
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCANDICE KAE MOHAMMADCredential: LICSW
Location Address490 FAIRMONT ST NE, NO BUSINESSFridley, MN 55432-1667
Mailing Address490 Fairmont St NeFridley, MN 55432-1667 · (763) 717-7979
Sole ProprietorYes
Enumeration DateJuly 9, 2008
NPI 1205099215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 10756
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.
490 FAIRMONT ST NE, Fridley, MN 55432

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 Mohammad's NPI number?

The NPI number for Candice Mohammad is 1205099215. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Candice Mohammad located?

Candice Mohammad practices at 490 Fairmont St NE No Business, Fridley, MN 55432. The listed phone number is (763) 717-7979.

What is Candice Mohammad's specialty?

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

When was this NPI record last updated?

The NPPES record for Candice Mohammad was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.