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DARLA D DERRICKSON CDCA QMHS CMS
NPI 1962050351
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since August 28, 2019
3500 CARNEGIE AVE, CLEVELAND, OH 44115(440) 234-2006 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2020, Aug 28, 2019 (2 updates tracked since 2019).

About Darla D Derrickson Cdca Qmhs Cms NPPES

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

DARLA D DERRICKSON CDCA QMHS CMS (NPI 1962050351) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in (CDCA.169875) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1962050351
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDARLA D DERRICKSONCredential: CDCA QMHS CMS
Location Address3500 CARNEGIE AVECleveland, OH 44115-2641
Mailing Address3500 Carnegie AveCleveland, OH 44115-2641
Phone(440) 234-2006
Sole ProprietorNo
Enumeration DateAugust 28, 2019
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1962050351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · CDCA.169875
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3500 CARNEGIE AVE, Cleveland, OH 44115
Open in Google Maps ↗

Other Identifiers 1

Medicaid190828-001283OH

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.

KIM M JACKSON LISW
Social Worker (Clinical)
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8554
OLIVIA H GUTBROD QMHS BA
Community/Behavioral Health
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
KAYLEIGH BERENDT PRS
Peer Specialist
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
MELISSA J ALLEN QMHS 3YRS CMS
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8300
CARMELA HOWELL
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006
ANGELA BILANCINI
Social Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-6835
ARIANNE CAIN
Social Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 260-8328
SABBRINA POMPEY
Community Health Worker
3500 CARNEGIE AVE
CLEVELAND, OH 44115
Cuyahoga County (440) 234-2006

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 Darla Derrickson's NPI number?

The NPI number for Darla Derrickson is 1962050351. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Darla Derrickson located?

Darla Derrickson practices at 3500 Carnegie Ave, Cleveland, OH 44115. The listed phone number is (440) 234-2006.

What is Darla Derrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Darla Derrickson was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.