Individual
CANDICE ELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
521 E MAIN ST UNIT 294, EMMETT, ID 83617-5411
(253) 310-1295
Mailing address
521 E MAIN ST UNIT 294, EMMETT, ID 83617-5411
(253) 310-1295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5771279
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571735
DSHS PROVIDER NUMBER
WA
Enumeration date
08/20/2014
Last updated
09/11/2025
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