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DERRA JOHNSON
NPI 1871397927
Case Manager/Care Coordinator in Waterford, MI

Active since April 01, 2025
279 SUMMIT DR, WATERFORD, MI 48328(248) 745-4900 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Derra Johnson NPPES

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

DERRA JOHNSON (NPI 1871397927) is an individual case manager/care coordinator provider in Waterford, Michigan and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1871397927
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDERRA JOHNSON
Location Address279 SUMMIT DRWaterford, MI 48328-3364
Mailing Address279 Summit DrWaterford, MI 48328-3364 · (248) 745-4900
Phone(248) 745-4900
Sole ProprietorNo
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1871397927 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.
279 SUMMIT DR, Waterford, MI 48328
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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.

COMMUNITY NETWORK SERVICES
Exclusive Provider Organization
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
ANITA MCCANN RN
Registered Nurse (Case Management)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
DOSYNG YOON MD
Psychiatry & Neurology (Psychiatry)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 922-9077
MRS. COURTNEY ELIZABETH PALADINO
Social Worker (Clinical)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4165
DEUNDRA DENISE FULLER CPSS
Peer Specialist
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4139
ALYSHIA MAGEE BS, MED
Case Manager/Care Coordinator
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
BARBARA ANN HAYWOOD LLBSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
MARK ANTHONY MITCHELL MSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900

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 Derra Johnson's NPI number?

The NPI number for Derra Johnson is 1871397927. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Derra Johnson located?

Derra Johnson practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (248) 745-4900.

What is Derra Johnson'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 Derra Johnson was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.