CANDACE THOMSON-BOTT
NPI 1962771915
Social Worker - Clinical in Ewa Beach, HI

Q: What is Candace Thomson-bott's NPI number?

The NPI number for Candace Thomson-bott is 1962771915. It was assigned to this individual provider in the NPPES registry on December 20, 2011.

Q: What is Candace Thomson-bott's specialty?

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

Active since December 20, 2011PECOS Enrolled

91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706(808) 677-2525 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Aug 13, 2021, Nov 6, 2019 (3 updates tracked since 2019).

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About Candace Thomson-bott NPPES

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

CANDACE THOMSON-BOTT (NPI 1962771915) is an individual clinical provider in Ewa Beach, Hawaii, licensed in Hawaii (4457) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962771915

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCANDACE THOMSON-BOTT

Location Address91-2301 OLD FT WEAVER RDEwa Beach, HI 96706-3602

Mailing Address91-2301 Old Ft Weaver RdEwa Beach, HI 96706-3602 · (808) 677-2525

Phone(808) 677-2525

Sole ProprietorNo

Enumeration DateDecember 20, 2011

Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1962771915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in HI · 4457

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 · Mental HealthTaxonomy 101YM0800X · License SW24208 (FL)

91-2301 OLD FT WEAVER RD, Ewa Beach, HI 96706

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Secondary Practice Locations 2

Location 147 Town StNorwich, CT 06360-2323 · Phone (860) 892-7042

Location 2725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242 · Fax (863) 993-0108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Thomson-bott is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Candace Thomson-bott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balanced Wellbeing LLC

4,699 mi

Psychiatry

3200 SW 34TH AVE STE 701
Ocala, FL 34474

Reassigned Medicare billing, Florida enrollment
369 clinicians in this Medicare group

NPI 1336513639 (352) 445-1200

Mcr Health, Inc.

4,709 mi

Federally Qualified Health Center (FQHC)

12271 US HIGHWAY 301 N
Parrish, FL 34219

Reassigned Medicare billing, Florida enrollment
709 clinicians in this Medicare group

NPI 1255376000 (941) 776-4050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96706 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 $60.53 – $180.05

Typical copayment $0.00 (range $15.13 – $45.01)

Most-billed visit code NA

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

KATE TRACHTE

Social Worker (Clinical)