Active NPIIndividual providerSole proprietor

Ms. Nancy Dereksen

Social Worker, Clinical in Pelham, New York

NPI Number1689884546
Practice location
111 Second Ave, Pelham, NY 10803-1419
Fax
—
Last updated
July 8, 2007

Nancy Dereksen is a Social Worker, Clinical based in Pelham, NY. Nancy Dereksen practices in Pelham, NY. The NPI Number for Nancy Dereksen is 1689884546 and holds a License No. R025105-1 (NY). The current practice location address for Nancy Dereksen is 111 Second Ave, Pelham, NY 10803-1419 and can be reached out via phone at 914-738-4226.

Provider Profile Details

NPI Number
1689884546
Provider Name
Nancy Dereksen
Provider Entity Type
Individual
Gender
Female
Address
111 Second Ave, Pelham, NY 10803-1419
Phone Number
914-738-4226
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Ms. Nancy Jane Olsgard, LCSW (Former Name)
Provider Enumeration Date
May 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Second Ave
Pelham, NY 10803-1419
City
Pelham
Zip
10803-1419
Phone Number
914-738-4226
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
111 Second Ave
Pelham, NY 10803-1419
City
Pelham
State
NY
Zip
10803-1419
Phone Number
014-738-4226

License Information

License Number
R025105-1
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Pelham, NY

View all Social Worker, Clinical providers in Pelham →

Frequently Asked Questions

What is the NPI number of Ms. Nancy Dereksen?

The NPI number of Ms. Nancy Dereksen is 1689884546. It was assigned on May 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Nancy Dereksen?

Ms. Nancy Dereksen is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R025105-1.

Where does Ms. Nancy Dereksen practice?

The practice location is 111 Second Ave, Pelham, NY 10803-1419. The office can be reached at 914-738-4226 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689884546 directly on the NPPES registry website.

Browse related providers