1. Home
  2. Directory
  3. Utah
  4. Taylorsville
  5. Social Worker
  6. NPI Profile

DERRIK WISE
NPI 1053988915
Social Worker in Taylorsville, UT

Active since June 09, 2021
3809 W 6200 S, TAYLORSVILLE, UT 84129(888) 949-4864 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, Jun 9, 2021 (2 updates tracked since 2021).

About Derrik Wise NPPES

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

DERRIK WISE (NPI 1053988915) is an individual social worker in Taylorsville, Utah and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1053988915
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDERRIK WISE
Location Address3809 W 6200 STaylorsville, UT 84129-3725
Mailing Address4460 S Highland DrSalt Lake City, UT 84124-3543 · (888) 949-4864
Phone(888) 949-4864
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1053988915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3809 W 6200 S, Taylorsville, UT 84129
Open in Google Maps ↗

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.

I'ESHA CATRINA BABER LCSW
Social Worker (Clinical)
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
ROGER WHITING
Community Health Worker
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
NICOLENA GOMEZ
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
GREGORY ALLEN KULICKE
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
JAMIE LARSEN
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
HONG NGOC PHAM
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (801) 963-4360
MICHAEL GRIEGO
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
SETH BENJAMIN DAINES
Community Health Worker
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (801) 963-4360

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 Derrik Wise's NPI number?

The NPI number for Derrik Wise is 1053988915. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Derrik Wise located?

Derrik Wise practices at 3809 W 6200 S, Taylorsville, UT 84129. The listed phone number is (888) 949-4864.

What is Derrik Wise's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Derrik Wise was last updated on November 1, 2022. 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.