Candace Nicole Wallis
Clinical Social Worker · Coos Bay, OR
Candace Nicole Wallis is a clinical social worker with a practice address in Coos Bay, Oregon, and NPI 1215691597, issued on Oct 24, 2021. Check the license with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Candace Nicole Wallis
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 15085 FL
Self-reported in NPPES; status is on the state search - Practice location
- 125 Central Ave Ste 290, Coos Bay, OR 97420
- Phone
- (541) 267-2113
- Enumerated
- Oct 24, 2021
- Record last updated
- Oct 24, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20250828003537); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 5,014 in Oregon → Look up another NPI →
Verify Candace Nicole Wallis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Coastal Center, LLC.North Bend, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Candace Nicole Wallis among 5,014 clinical social worker records in Oregon
Candace Nicole Wallis is one of 5,014 clinical social worker records with a practice address in Oregon. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 80% of them.
- NPI issued2021 · 80% of these records are older, 16% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2020 · median 2011 among the 1,044 with a school on file
- Record last updated2021 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
33 clinical social worker records list a practice address in Coos Bay
They are 33 of the 767 NPPES records with a practice address in Coos Bay, and 5,014 clinical social worker records in Oregon.
All 5,014 in Oregon → Every provider in Coos Bay → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Richard Bossardt, L.C.S.W.Coos Bay, OR 974201336245752
- Kerry Cannon, MSW, LCSWCoos Bay, OR 974201346494978
- Carol Embury, LCSWCoos Bay, OR 974201336238971
- Mary Feutrier, LCSWCoos Bay, OR 974201780737858
- Paul Forbes, MSW, LCSWCoos Bay, OR 974201598818650
- Jeffrey Friedman, LCSWCoos Bay, OR 974201194996256
- Gayle Goldblatt, LCSWCoos Bay, OR 974201912923848
- Elizabeth Heldt, PSSCoos Bay, OR 974201891982492
Common questions
What is Candace Nicole Wallis's NPI number?
Candace Nicole Wallis's National Provider Identifier (NPI) is 1215691597, issued on Oct 24, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Candace Nicole Wallis located?
The NPPES record lists a practice address at 125 Central Ave Ste 290, Coos Bay, OR, 97420. Phone: (541) 267-2113. Providers update this record themselves, so call before visiting.
How can I verify Candace Nicole Wallis's license?
Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.