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DERRICKETA PALACIO
NPI 1043853039
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since October 22, 2019
5715 S BROADWAY, LOS ANGELES, CA 90037(323) 948-0444 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2023, Oct 22, 2019 (2 updates tracked since 2019).

About Derricketa Palacio NPPES

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

DERRICKETA PALACIO (NPI 1043853039) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since October 2019. She maintains a secondary practice location in Bellflower.

NPPES Registry Identity

NPI1043853039
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICKETA PALACIO
Location Address5715 S BROADWAYLos Angeles, CA 90037-4131
Mailing Address5715 S BroadwayLos Angeles, CA 90037-4131 · (323) 948-0444
Phone(323) 948-0444
Sole ProprietorYes
Enumeration DateOctober 22, 2019
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1043853039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5715 S BROADWAY, Los Angeles, CA 90037
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Secondary Practice Location 1

Location 116314 Cornuta AveBellflower, CA 90706-4814 · Phone (562) 923-4545

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.

ANGEL LU
Student in an Organized Health Care Education/Training Program
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
LATONIUS WHITE
Counselor (Addiction (Substance Use Disorder))
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
PATRICK HILL
Counselor (Addiction (Substance Use Disorder))
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (310) 462-8944
DR. MELVIN ROBERT REED JR.
Counselor (Addiction (Substance Use Disorder))
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (213) 549-3766
BRENDA LIZETH LANESTOZA NAVARRO
Community Health Worker
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
KELLI DAVIS
Counselor (Mental Health)
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
KENON J JOSEPH
Community Health Worker
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (213) 435-4602
KYLE DAVIS
Case Manager/Care Coordinator
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (424) 408-5800

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 Derricketa Palacio's NPI number?

The NPI number for Derricketa Palacio is 1043853039. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Derricketa Palacio located?

Derricketa Palacio practices at 5715 S Broadway, Los Angeles, CA 90037. The listed phone number is (323) 948-0444.

What is Derricketa Palacio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derricketa Palacio was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.