MS. CANDICE MARIE BAZEMORE LCSW
NPI 1467591842
Social Worker - Clinical in Charlotte, NC

Active since February 05, 2007Opted out of Medicare · through Aug 15, 2027
6809 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 365-7777(704) 365-9256 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Candice Marie Bazemore Lcsw NPPES

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

MS. CANDICE MARIE BAZEMORE LCSW (NPI 1467591842) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C005845) and active in the NPI registry since February 2007. She has opted out of Medicare through August 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467591842
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CANDICE MARIE BAZEMORECredential: LCSW
Location Address6809 FAIRVIEW RDCharlotte, NC 28210-3336
Mailing Address6809 Fairview RdCharlotte, NC 28210-3336 · (704) 365-7777 · Fax (704) 365-9256
Fax(704) 365-9256
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 7, 2008
NPI 1467591842 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 NC · C005845
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.

6809 FAIRVIEW RD, Charlotte, NC 28210

Other Identifiers 1

OtherC005845NC · Lcsw

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Candice Marie Bazemore Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2017 through August 15, 2027.

Opt-Out Effective DateAugust 15, 2017
Opt-Out In Effect ThroughAugust 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
6809 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor (Mental Health)
6809 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor (Professional)
6809 FAIRVIEW RD, UNIT B
CHARLOTTE, NC 28210
Social Worker (Clinical)
6809 FAIRVIEW RD
CHARLOTTE, NC 28210
Counselor
6809 FAIRVIEW RD
CHARLOTTE, NC 28210
Social Worker (Clinical)
6809 FAIRVIEW RD, SUITE C
CHARLOTTE, NC 28210
Social Worker (Clinical)
6809 FAIRVIEW RD
CHARLOTTE, NC 28210
Psychologist
6809 FAIRVIEW RD
CHARLOTTE, NC 28210

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 Bazemore's NPI number?

The NPI number for Candice Bazemore is 1467591842. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Candice Bazemore located?

Candice Bazemore practices at 6809 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 365-7777.

What is Candice Bazemore's specialty?

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

Is Candice Bazemore enrolled in Medicare?

No. Candice Bazemore has opted out of Medicare through August 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Candice Bazemore accept?

Health plans from Blue Cross and Blue Shield of NC list Candice Bazemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candice Bazemore was last updated on February 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.