CANDICE STARK VALLEJO LISW
NPI 1891030649
Social Worker - Clinical in Council Bluffs, IA

Active since December 05, 2012
300 W BROADWAY STE 29, COUNCIL BLUFFS, IA 51503(712) 323-1660 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Stark Vallejo Lisw NPPES

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

CANDICE STARK VALLEJO LISW (NPI 1891030649) is an individual clinical provider in Council Bluffs, Iowa, licensed in Iowa (00442) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1891030649
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCANDICE STARK VALLEJOCredential: LISW
Location Address300 W BROADWAY STE 29Council Bluffs, IA 51503-9030
Mailing Address300 W Broadway Ste 29Council Bluffs, IA 51503-9030 · (712) 323-1660
Sole ProprietorNo
Enumeration DateDecember 5, 2012
NPI 1891030649 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 IA · 00442
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.
300 W BROADWAY STE 29, Council Bluffs, IA 51503

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
300 W BROADWAY STE 29
COUNCIL BLUFFS, IA 51503
Social Worker (Clinical)
300 W BROADWAY STE 29
COUNCIL BLUFFS, IA 51503
Counselor (Addiction (Substance Use Disorder))
300 W BROADWAY STE 29
COUNCIL BLUFFS, IA 51503
Counselor (Mental Health)
300 W BROADWAY STE 29
COUNCIL BLUFFS, IA 51503

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 Vallejo's NPI number?

The NPI number for Candice Vallejo is 1891030649. It was assigned to this individual provider in the NPPES registry on December 5, 2012.

Where is Candice Vallejo located?

Candice Vallejo practices at 300 W Broadway Ste 29, Council Bluffs, IA 51503. The listed phone number is (712) 323-1660.

What is Candice Vallejo'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 Vallejo was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.