DERRICK ALLEN PORTER (NPI# 1245517341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245517341 |
| Entity Type | Individual |
| Full Name | DERRICK ALLEN PORTER |
| Credential | MSW |
| Practice Address |
1441 E 84th Pl Merrillville IN 46410-6451 |
| Mailing Address |
8400 Louisiana St Merrillville IN 46410-6385 |
| Practice Telephone | 2197942000 |
| Practice Fax Number | 2197942010 |
| Mailing Telephone | 2197571928 |
| Mailing Fax Number | 2197571950 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2014-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006954A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1760406938 | Derrick Allen Porter | Technician | 20188 W Vanzant Rd, Springdale, AR 72764-8978 | 2006-07-27 |
| 1962808824 | Derrick Porter | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-05 |
| Street Address |
1441 E 84TH PL |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-6451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028154 | Robert Edward Rajewski | Psychologist | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2005-08-01 |
| 1639640352 | Bridgette Frazier | Case Manager/Care Coordinator | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2018-12-06 |
| 1427423649 | Christine Wilcox | Social Worker | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2015-12-14 |
| 1215303912 | Kristen Salan | Counselor | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2015-08-17 |
| 1811377567 | Peter Lucas | Counselor | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2015-06-08 |
| 1023423456 | Provedencia Blanchard | Social Worker | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2014-06-24 |
| 1942634191 | Shadia Ibrahim | Counselor | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2013-08-23 |
| 1336416551 | Adam Scartozzi | Counselor | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2011-11-17 |
| 1225343833 | Jennifer L Dudrey | Social Worker | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2010-08-09 |
| 1154635043 | Jared Eaton | Psychologist | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910497 | Ellen Minter | Social Worker | 7108 Broadway Apt 1a, Merrillville, IN 46410-3469 | 2020-10-17 |
| 1891317442 | Lauren Stewart | Social Worker | 1948 W 85th Ave Apt K304, Merrillville, IN 46410-8488 | 2020-05-16 |
| 1891328472 | Brian Dilosa Sr. | Social Worker | 1205 W Lincoln Hwy Ste 3, Merrillville, IN 46410-5336 | 2020-02-21 |
| 1902437486 | Tai Hesia Crayton | Social Worker | 5401 Broadway Ste F, Merrillville, IN 46410-1684 | 2020-02-03 |
| 1821644105 | Angela Marie Krumrie | Social Worker | 7870 Broadway Ste H, Merrillville, IN 46410-5542 | 2019-08-13 |
| 1881163806 | Divorce Recovery Center of Northwest Indiana LLC | Social Worker | 2612 W Lincoln Hwy, Merrillville, IN 46410-5235 | 2018-11-20 |
| 1275050551 | Veronica Zrnchik | Social Worker | 4100 W 73rd Ave, Merrillville, IN 46410-4206 | 2017-08-28 |
| 1992256390 | Mandy Smith | Social Worker | 1250 W Lincoln Hwy, Suite 5, Merrillville, IN 46410 | 2016-10-20 |
| 1629449376 | Tanya Burns | Social Worker | 6859 Whitcomb St, Merrillville, IN 46410-3397 | 2015-10-07 |
| 1790151272 | Amy Mcconnell | Social Worker | 3930 W 78th Ct, Apt 10, Merrillville, IN 46410-8704 | 2015-08-19 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.