DERRICK CASEY


Address: 484 Main St, Worcester, MA 01608-1893
Phone: 5087998010

DERRICK CASEY (NPI# 1568923902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA DRIVER'S LICENSE S96930234 01

Office Location

Street Address 484 MAIN ST
City WORCESTER
State MA
Zip Code 01608-1893

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City WORCESTER
Zip Code 01608

Improve Information

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Dataset Information

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.

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