MR. DERRICK L MASON (NPI# 1295239291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295239291 |
| Entity Type | Individual |
| Full Name | MR. DERRICK L MASON |
| Credential | CDCA |
| Practice Address |
605 Oriole Pl Sw Warren OH 44485-3638 |
| Practice Telephone | 3308810601 |
| Mailing Telephone | 3308810601 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CHEMICAL DEPENDENCY PROFESSIONALS BOARD | 162683 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780901983 | Derrick A Mason | Marriage & Family Therapist | 1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 | 2010-04-27 |
| 1669807400 | Derrick Mason Jr. | Kinesiotherapist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2013-09-12 |
| Street Address |
605 ORIOLE PL SW |
| City | WARREN |
| State | OH |
| Zip Code | 44485-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
| 1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
| 1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
| 1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
| 1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
| 1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
| 1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
| 1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
| 1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
| Find all providers in zip 44485 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630777 | Chante Renee Jackson | Social Worker | 28082 Hoover Rd Apt 3, Warren, MI 48093-4166 | 2020-08-17 |
| 1871123638 | Resheta Sade Eggleston | Social Worker | 2833 Red Fox Run Dr Nw, Warren, OH 44485-1573 | 2020-01-21 |
| 1639711708 | Alexandra Ash | Social Worker | 6 Asylum Rd, Warren, RI 02885-1718 | 2019-10-10 |
| 1548818461 | Lauren Louise Wimer | Social Worker | 2282 Reeves Road Ne, Warren, OH 44483-4354 | 2019-09-04 |
| 1285287862 | Zenobia Kindle-davis | Social Worker | 22804 Sharrow Ave, Warren, MI 48089-2882 | 2019-07-22 |
| 1083180640 | Rakaiya Peterman | Social Worker | 138 Kenmore Ave Se, Warren, OH 44483-6157 | 2018-10-22 |
| 1700366614 | Jamila Ebony Provitt | Social Worker | 2671 Youngstown Rd Se, Warren, OH 44484-4404 | 2018-08-20 |
| 1659857993 | Elizabeth Tanner-horn | Social Worker | 72 Woodville Rd, Warren, CT 06777-1202 | 2018-07-18 |
| 1578051876 | Melissa Ann Emery | Social Worker | 160 Clifton Dr Ne Ste 1, Warren, OH 44484-1899 | 2018-04-23 |
| 1700386471 | Kimberly Denise Walker I | Social Worker | 3244 Williamsburg St Nw, Warren, OH 44485-2257 | 2018-02-19 |
| Find all providers in WARREN | ||||
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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.