CANDACE J DERRY LSW NPI 1013138221

Counselor in Ravenna, OH

NPI 1013138221 Individual Female Counselor

About CANDACE DERRY

Candace Derry is a provider established in Ravenna, Ohio and her medical specialization is counselor. The NPI number of Candace Derry is 1013138221 and was assigned on May 2007. The practitioner's primary taxonomy code is 101Y00000X with license number S17811 (OH). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Candace Derry is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013138221

Provider Name CANDACE J DERRY LSW
Provider Location Address520 N CHESTNUT ST RAVENNA, OH 44266
Provider Mailing Address1901 EASTWOOD AVE AKRON, OH 44305
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-02-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
License No.S17811
License StateOH
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Business Address

CANDACE J DERRY LSW
520 N CHESTNUT ST
RAVENNA, OH
ZIP 44266
Phone: (330) 296-5552
Fax: (330) 296-6126

Get Directions


Mailing Address

CANDACE J DERRY LSW
1901 EASTWOOD AVE
AKRON, OH
ZIP 44305
Phone: (330) 715-2609



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750337838PORTAGE COUNTY CHILDREN'S SERVICES CENTER
Organization
Clinic/Center (Adolescent and Children Mental Health)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1619195021MS. RABEENA ALLI PCC
Individual
Counselor520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1063630408MS. KATHALEEN A STEVENSON LPCC
Individual
Counselor520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1770701906 DENNIS A. ANTON PC
Individual
Counselor (Mental Health)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1003034463 KEVIN L CLINE LISW
Individual
Social Worker (Clinical)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1104044585 ROBIN L FORMICK E.0004226
Individual
Counselor (Mental Health)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1235357419 MARY M. MCCRACKEN LISW
Individual
Counselor (Mental Health)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1821216003MRS. JOANN TERCEK-MOWREY LPCC-S
Individual
Counselor (Mental Health)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1487872818MS. ALLISON M METZ PC
Individual
Counselor (Mental Health)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1619197233 DAVID W. KUMP BA
Individual
Case Manager/Care Coordinator520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1306066154 TIFFANY K. FINLEY PC
Individual
Counselor (Professional)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1902027899 JENNIFER A SCHUMM BA
Individual
Case Manager/Care Coordinator520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1619198900 DAVID U BURKHOLDER M.ED., PC
Individual
Counselor (Professional)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1790906014 MARY E SNYDER LSW
Individual
Case Manager/Care Coordinator520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1467673798 BRYAN KARAZSIA INTERN
Individual
Counselor520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1679794861 JULIE E JEFF MSSA, LSW
Individual
Counselor520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1679794879 JUDEE L GORCZYNSKI M.ED., LSW
Individual
Counselor520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1952522245 JULIE DEMEZA LISW
Individual
Counselor (Professional)520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1629290424 JESSE E MILLER III BASW
Individual
Case Manager/Care Coordinator520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552
1689896607 CHRISTINA A. COWSERT B.A.
Individual
Case Manager/Care Coordinator520 N CHESTNUT ST
RAVENNA, OH 44266
(330) 296-5552

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.