DERRICK CASEY (NPI# 1568923902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568923902 |
Entity Type | Individual |
Full Name | DERRICK CASEY |
Practice Address |
484 Main St Worcester MA 01608-1893 |
Mailing Address |
442 Plantation St Worcester MA 01605-2328 |
Practice Telephone | 5087998010 |
Mailing Telephone | 7742533914 |
Enumeration Date | 2019-03-28 |
Last Update Date | 2019-03-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | DRIVER'S LICENSE | S96930234 | 01 |
Street Address |
484 MAIN ST |
City | WORCESTER |
State | MA |
Zip Code | 01608-1893 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386279651 | Melissa Catherine Ricciuto | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2020-03-07 |
1275170011 | Kristina Marie Cummings | Physical Medicine & Rehabilitation | 484 Main St, Worcester, MA 01601-0078 | 2019-11-27 |
1205487832 | Joseph Reisman | Physical Therapist | 484 Main St, Worcester, MA 01601-0078 | 2019-09-25 |
1457900714 | Stephanie Fungsang | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2019-09-10 |
1619525557 | Bridget Elise North | Speech-Language Pathologist | 484 Main St, Worcester, MA 01608-1893 | 2019-09-03 |
1881253797 | Molly R Makofske | Speech-Language Pathologist | 484 Main St, Worcester, MA 01608-1893 | 2019-06-13 |
1609430529 | Francesca Ann Iebba | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2019-04-25 |
1265905269 | Amber Scarpaci | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2019-01-02 |
1386124220 | Shannon Hardy | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2018-08-20 |
1598245508 | Emma Kathryn Forbes | Physical Therapist | 484 Main St, Worcester, MA 01608-1893 | 2018-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
Find all providers in zip 01608 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834847 | Brenna Morgan | Counselor | 2 Duncannon Ave Apt 9, Worcester, MA 01604-5139 | 2020-09-01 |
1043820384 | Dylan Gibbons | Counselor | 62 Wedgewood Rd, Worcester, MA 01602-1027 | 2020-08-02 |
1457977316 | Taylor Neil | Counselor | 2 Norton St, Worcester, MA 01605-3311 | 2020-06-17 |
1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
1932746708 | Jason Boyle | Counselor | 495 Grove St, Worcester, MA 01605-1242 | 2019-11-29 |
1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
1679119853 | Stephanie K Corio | Counselor | 102 Plantation St Apt 3, Worcester, MA 01604-4043 | 2019-11-21 |
1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
1306480678 | Joy Robinson | Counselor | 44 Byron St Apt 32, Worcester, MA 01606-2837 | 2019-10-30 |
1841840063 | Paulina Brunelle | Counselor | 324 Clark St Rear 2, Worcester, MA 01606-1214 | 2019-09-19 |
Find all providers in WORCESTER |
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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.