Derek Blagojevic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33010576A Issued in IN

Practice address

13820 Morse St
Cedar Lake, IN 46303-9645

Phone

(219) 695-1144

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Behavioral Health IncGroup PAC ID 9638429269, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartland Behavioral Health Inc

  • Group Psychotherapy Psychologist
  • Lowell, IN
  • NPI 1134618333

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Heartland Recovery Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lowell, IN
  • NPI 1417320508

  Single Specialty

  Medicare reassignment NPD
• Pillars of Wellness

  • Psychologist
  • Schererville, IN
  • NPI 1588105225

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1508507302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 MORSE ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039645",
            "telephone_number": "219-695-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 MORSE ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039645",
            "telephone_number": "219-695-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGOJEVIC",
        "first_name": "DEREK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33010576A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Bakker, HEALTH COACH
• Amy C. Bauer, CD(DONA)
• Tara Beilke, SLP
• Julie Anne Berg, MS CCC-SLP
• Julie S. Blackburn, LCPC
• Jennifer Blane, CCC-SLP
• Sandra Lee Bohlman, PTA
• Katlyn Bonnell
• Diane Botma, COTA
• Laurie Brown

• Clinical Social Worker in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.