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DERRICK GLEN OSOUP
NPI 1629830625
Case Manager/Care Coordinator in Petersburg, AK

Active since January 25, 2024
100 FRAM STREET, PETERSBURG, AK 99833(907) 772-4963(907) 874-5190 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick Glen Osoup NPPES

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

DERRICK GLEN OSOUP (NPI 1629830625) is an individual case manager/care coordinator provider in Petersburg, Alaska and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1629830625
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDERRICK GLEN OSOUP
Location Address100 FRAM STREETPetersburg, AK 99833
Mailing AddressPo Box 433Petersburg, AK 99833-0433 · (907) 772-4963 · Fax (907) 874-5190
Phone(907) 772-4963
Fax(907) 874-5190
Sole ProprietorNo
Enumeration DateJanuary 25, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1629830625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
100 FRAM STREET, Petersburg, AK 99833
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Other Providers at the Same Location NPPES 4

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

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Community/Behavioral Health
100 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
TIFFANY ECKLES
Counselor (Mental Health)
100 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4963
ALEXANDREA BROOKE BADGER HELMS
Rehabilitation Counselor
100 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
KIRSTEN IRENE SUSORT
Rehabilitation Counselor
100 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332

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 Osoup's NPI number?

The NPI number for Derrick Osoup is 1629830625. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Where is Derrick Osoup located?

Derrick Osoup practices at 100 Fram Street, Petersburg, AK 99833. The listed phone number is (907) 772-4963.

What is Derrick Osoup'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 Derrick Osoup was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.