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DEREK JOHN BLACK
NPI 1679231237
Case Manager/Care Coordinator in Logan, UT

Active since December 01, 2021
475 W 1465 N APT 103, LOGAN, UT 84341(435) 851-3813 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Derek John Black NPPES

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

DEREK JOHN BLACK (NPI 1679231237) is an individual case manager/care coordinator provider in Logan, Utah and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1679231237
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDEREK JOHN BLACK
Location Address475 W 1465 N APT 103Logan, UT 84341-6619
Mailing Address475 W 1465 N Apt 103Logan, UT 84341-6619 · (435) 851-3873
Phone(435) 851-3813
Sole ProprietorYes
Enumeration DateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1679231237 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.
475 W 1465 N APT 103, Logan, UT 84341
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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 Black's NPI number?

The NPI number for Derek Black is 1679231237. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Derek Black located?

Derek Black practices at 475 W 1465 N Apt 103, Logan, UT 84341. The listed phone number is (435) 851-3813.

What is Derek Black'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 Derek Black was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.