1. Home
  2. Directory
  3. Michigan
  4. Marquette
  5. Social Worker
  6. NPI Profile

SAMONE L. DERKS LMSW
NPI 1447768056
Social Worker - Clinical in Marquette, MI

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment
129 W BARAGA AVE STE F, MARQUETTE, MI 49855(906) 361-1386(906) 273-1650 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2020, Jan 17, 2018 (2 updates tracked since 2018).

About Samone L. Derks Lmsw NPPES

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

SAMONE L. DERKS LMSW (NPI 1447768056) is an individual clinical provider in Marquette, Michigan, licensed in Michigan (6801102088) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1447768056
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMONE L. DERKSCredential: LMSW
Location Address129 W BARAGA AVE STE FMarquette, MI 49855-4761
Mailing Address129 W Baraga Ave Ste FMarquette, MI 49855-4761 · (906) 361-1386 · Fax (906) 273-1650
Phone(906) 361-1386
Fax(906) 273-1650
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 17, 2018
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1447768056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801102088✔ Licensed in WA · LW60781970
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.
129 W BARAGA AVE STE F, Marquette, MI 49855
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samone L. Derks Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294097069
PECOS Enrollment IDI20180315001752
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMONE DERKS LLC
Community/Behavioral Health
129 W BARAGA AVE STE F
MARQUETTE, MI 49855
Marquette County (906) 361-1386

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 Samone Derks's NPI number?

The NPI number for Samone Derks is 1447768056. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Samone Derks located?

Samone Derks practices at 129 W Baraga Ave Ste F, Marquette, MI 49855. The listed phone number is (906) 361-1386.

What is Samone Derks's specialty?

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

Is Samone Derks enrolled in Medicare?

Yes. Samone Derks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samone Derks accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Samone Derks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samone Derks was last updated on October 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.