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DERICKA CANADA
NPI 1104120781
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since December 22, 2010
914 E BROADWAY, LOUISVILLE, KY 40204(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dericka Canada NPPES

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

DERICKA CANADA (NPI 1104120781) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1104120781
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDERICKA CANADA
Location Address914 E BROADWAYLouisville, KY 40204-1037
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone(502) 589-8600
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateDecember 22, 2010
✔ NPI 1104120781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
914 E BROADWAY, Louisville, KY 40204
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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.

JOSEPH SCHAEFER
Counselor
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
STEPHANIE STEWART
Counselor (Mental Health)
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
ELIZABETH SIEVWRIGHT
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
JULIANA GROSSI LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
EMILY MILLER
Social Worker
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
NATASHA L SCHAEFER
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MR. WILLIAM HOWARD CREASMAN III LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MARIA E TREVINO
Social Worker (Clinical)
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600

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 Dericka Canada's NPI number?

The NPI number for Dericka Canada is 1104120781. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Dericka Canada located?

Dericka Canada practices at 914 E Broadway, Louisville, KY 40204. The listed phone number is (502) 589-8600.

What is Dericka Canada's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dericka Canada was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.