Benjamin David Derigge, MA
Individual provider Active NPI Social Worker · Newark, DE
NPI 1487773107 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487773107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 8 Capano Dr Apt D6
Newark, DE 19702-1836 - Phone
- (302) 383-6789
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
8 Capano Dr Apt D6
Newark, DE 19702-1836
Mailing address
8 Capano Dr Apt D6
Newark, DE 19702-1836
Phone (302) 383-6789
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.