DERRICK DUNMORE
NPI 1073335675
Social Worker - Clinical in Bolingbrook, IL

Active since October 26, 2024
246 CLUBHOUSE ST, BOLINGBROOK, IL 60490(630) 742-6899 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick Dunmore NPPES

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

DERRICK DUNMORE (NPI 1073335675) is an individual clinical provider in Bolingbrook, Illinois, licensed in Illinois (149026406) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1073335675
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDERRICK DUNMORE
Location Address246 CLUBHOUSE STBolingbrook, IL 60490-2059
Mailing Address246 Clubhouse StBolingbrook, IL 60490-2059 · (630) 742-6899
Sole ProprietorYes
Enumeration DateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
NPI 1073335675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149026406
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

246 CLUBHOUSE ST, Bolingbrook, IL 60490

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 Derrick Dunmore's NPI number?

The NPI number for Derrick Dunmore is 1073335675. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Where is Derrick Dunmore located?

Derrick Dunmore practices at 246 Clubhouse St, Bolingbrook, IL 60490. The listed phone number is (630) 742-6899.

What is Derrick Dunmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Derrick Dunmore was last updated on October 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.