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DEREK GLOVER RN
NPI 1215805056
Registered Nurse - Addiction (Substance Use Disorder) in Benton Harbor, MI

Active since October 24, 2025
1022 E MAIN ST, BENTON HARBOR, MI 49022(269) 926-0015(269) 926-0123 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Glover Rn NPPES

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

DEREK GLOVER RN (NPI 1215805056) is an individual addiction (substance use disorder) provider in Benton Harbor, Michigan, licensed in Michigan (4704348313) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1215805056
Entity TypeIndividualMale
Primary Taxonomy163WA0400X
Provider Legal NameDEREK GLOVERCredential: RN
Location Address1022 E MAIN STBenton Harbor, MI 49022-3036
Mailing Address1022 E Main StBenton Harbor, MI 49022-3036 · (269) 926-0015 · Fax (269) 926-0123
Phone(269) 926-0015
Fax(269) 926-0123
Sole ProprietorYes
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1215805056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in MI · 4704348313
1022 E MAIN ST, Benton Harbor, MI 49022
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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.

TRACIE WRIGHT-NICHOLS
Social Worker
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
HARBORTOWN TREATMENT CENTER PLLC
Clinic/Center (Methadone)
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
VINEESHA RATHNAM
Counselor (Addiction (Substance Use Disorder))
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
MISS DANELL ELAINE PANOZZO LMSW
Counselor (Addiction (Substance Use Disorder))
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
MR. LARRY WAYNE EDWARDS BS
Substance Abuse Rehabilitation Facility
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
CHRISTINE MARIE DAUGHERTY RN
Counselor (Addiction (Substance Use Disorder))
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
MISS ALISHA LYNN RISNER LSW
Counselor
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
DARIEN SMITH
Psychologist (Counseling)
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015

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 Derek Glover's NPI number?

The NPI number for Derek Glover is 1215805056. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Derek Glover located?

Derek Glover practices at 1022 E Main St, Benton Harbor, MI 49022. The listed phone number is (269) 926-0015.

What is Derek Glover's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Derek Glover was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.