SUSAN-JO DERICKSON
NPI 1912369117
Counselor in Hainesport, NJ

Active since March 26, 2016
54 MOUNT LAUREL RD, HAINESPORT, NJ 08036(609) 261-0951 Get Directions Write a Review

NPPES record last updated: March 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan-jo Derickson NPPES

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

SUSAN-JO DERICKSON (NPI 1912369117) is an individual counselor in Hainesport, New Jersey and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1912369117
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSUSAN-JO DERICKSON
Location Address54 MOUNT LAUREL RDHainesport, NJ 08036-2712
Mailing Address54 Mount Laurel RdHainesport, NJ 08036-2712 · (609) 261-0951
Sole ProprietorYes
Enumeration DateMarch 26, 2016
NPI 1912369117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

54 MOUNT LAUREL RD, Hainesport, NJ 08036

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 Susan-jo Derickson's NPI number?

The NPI number for Susan-jo Derickson is 1912369117. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Susan-jo Derickson located?

Susan-jo Derickson practices at 54 Mount Laurel Rd, Hainesport, NJ 08036. The listed phone number is (609) 261-0951.

What is Susan-jo Derickson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Susan-jo Derickson was last updated on March 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.