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JENEVIEVE PILAR DERSAM
NPI 1033962816
Case Manager/Care Coordinator in Lancaster, OH

Active since April 10, 2024
1550 SHERIDAN DR STE 302, LANCASTER, OH 43130(220) 207-8034 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenevieve Pilar Dersam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENEVIEVE PILAR DERSAM (NPI 1033962816) is an individual case manager/care coordinator provider in Lancaster, Ohio and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1033962816
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJENEVIEVE PILAR DERSAM
Location Address1550 SHERIDAN DR STE 302Lancaster, OH 43130-1380
Mailing Address1550 Sheridan Dr Ste 302Lancaster, OH 43130-1380 · (220) 207-8034
Phone(220) 207-8034
Sole ProprietorYes
Enumeration DateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1033962816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1550 SHERIDAN DR STE 302, Lancaster, OH 43130
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE SIMONS CDCA
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3046
TONI LEE NEAL
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3049
HANNAH NICOLE PASKINS
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3046
KILYNN DEIBLE
Case Manager/Care Coordinator
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3049
AMANDA J FICKEN CDCA
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3049
BARBARA BURKE
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3049
CARISSA DERSAM
Case Manager/Care Coordinator
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3040
THOMAS MATT CONNELL
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (740) 901-3046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenevieve Dersam's NPI number?

The NPI number for Jenevieve Dersam is 1033962816. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Jenevieve Dersam located?

Jenevieve Dersam practices at 1550 Sheridan Dr Ste 302, Lancaster, OH 43130. The listed phone number is (220) 207-8034.

What is Jenevieve Dersam's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jenevieve Dersam was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.