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CARISSA DERSAM
NPI 1194588962
Case Manager/Care Coordinator in Lancaster, OH

Active since February 02, 2024
1550 SHERIDAN DR STE 302, LANCASTER, OH 43130(740) 901-3040 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Dersam NPPES

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

CARISSA DERSAM (NPI 1194588962) is an individual case manager/care coordinator provider in Lancaster, Ohio and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1194588962
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameCARISSA DERSAM
Location Address1550 SHERIDAN DR STE 302Lancaster, OH 43130-1380
Mailing Address1550 Sheridan Dr Ste 302Lancaster, OH 43130-1380 · (740) 901-3040
Phone(740) 901-3040
Sole ProprietorYes
Enumeration DateFebruary 2, 2024
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1194588962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1550 SHERIDAN DR STE 302, Lancaster, OH 43130
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
JENEVIEVE PILAR DERSAM
Case Manager/Care Coordinator
1550 SHERIDAN DR STE 302
LANCASTER, OH 43130
Fairfield County (220) 207-8034
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
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 Carissa Dersam's NPI number?

The NPI number for Carissa Dersam is 1194588962. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Where is Carissa Dersam located?

Carissa Dersam practices at 1550 Sheridan Dr Ste 302, Lancaster, OH 43130. The listed phone number is (740) 901-3040.

What is Carissa 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 Carissa Dersam was last updated on April 25, 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.