Abena Derkyi, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1.2304743 Issued in OH

Practice address

527 S High St
Columbus, OH 43215-5602

Phone

(614) 227-9444

NPI assigned

Feb 20, 2018

Sex

Female

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 OH

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

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.

• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1679721906
  Medicare reassignment NPD
• Aad Mental Health Services, LLC

  • Clinical Social Worker
  • Canal Winchester, OH
  • NPI 1982476388
  NPD Authorized official
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1841943495
  NPD

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1811497472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155602",
            "telephone_number": "614-227-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155602",
            "telephone_number": "614-227-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKYI",
        "first_name": "ABENA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.2304743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekaterini Derdemezis
• Lawrence A Derenne, MD
• Samantha Deribin
• Alessandra Costandina Derick, DO
• Bill Derkson, LCDCII
• Wilclif Derolus
• Derosa Care Services, LLC
• Derosa Home Health Care, LLC
• Joseph Derr, CPNP-AC
• Derrick Mayo LLC

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.